Healthcare Provider Details

I. General information

NPI: 1912859463
Provider Name (Legal Business Name): RIDLEY'S FAMILY MARKETS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N 400 E
SANTAQUIN UT
84655-7127
US

IV. Provider business mailing address

5353 W 11000 N
HIGHLAND UT
84003-9403
US

V. Phone/Fax

Practice location:
  • Phone: 801-925-4060
  • Fax: 801-925-4066
Mailing address:
  • Phone: 801-358-3365
  • Fax: 385-331-5000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TODD ROBERT WISE
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 801-358-3365