NPI | 1548681877 |
---|---|
Doing Business As | RIDLEY'S PHARMACY #1165 |
Entity Type | Organization |
Authorized Contact | TODD WISE Pharmacy Director 801-358-3365 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 87123051703) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2014-01-06 |
Last Update Date | 2018-07-19 |