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Contact Information

RIDLEYS FAMILY MARKETS INC
341 EAST PINE ST
PINEDALE, WY82941
 Phone: 307-367-4451
 Fax: 307-367-6651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for RIDLEYS FAMILY MARKETS INC

NPI # 1891909198
LBN Legal business name RIDLEYS FAMILY MARKETS INC
Authorized official TODD WISE - (PHARMACY COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2007
Last updated 05/02/2018 - About 8 years ago
Identifiers
WY License # R10037
WY Medicaid 1891909198
Other 2111624 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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