NPI | 1679609077 |
---|---|
Doing Business As | RIDLEYS PHARMACY #7153 |
Entity Type | Organization |
Authorized Contact | TODD WISE Owner 801-358-3365 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 1809RP) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-02-27 |
Last Update Date | 2018-07-19 |