Family Fresh Market Pharmacy
LBN: Ericksons Diversified Corporation
Family Fresh Market Pharmacy is an health care organization with primary practice located at 303 S Main St , River Falls WI 54022-2468. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Ericksons Diversified Corporation can be contacted via phone (715) 425-1325, or through Ellis, Amy via phone (616) 878-2848.
Contact Information
Primary practice address
303 S Main St
River Falls WI 54022-2468
Phone: (715) 425-1325
Fax: (715) 425-8405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 6593 | Wisconsin |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1841348117 |
|---|---|
| LBN Legal business name | Ericksons Diversified Corporation |
| DBA Doing business as | Family Fresh Market Pharmacy |
| Authorized official | Ellis, Amy RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Dec 7th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841348117 | NPPES |
| Other | 5116062 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 33033400 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Popular Providers
-
Wal-Mart Stores East Lp
611 State Highway 54 , Black River Falls WI 54615-5453 -
Wal-Mart Stores East , Lp
2786 Commercial Blvd , Chippewa Falls WI 54729-5031 -
Shopko Stores Operating Co Llc
2677 S Prairie View Rd , Chippewa Falls WI 54729-7506 -
Walgreen Co.
1047 N Main St , River Falls WI 54022-1596 -
Ho-Chunk Nation
N6520 Lumberjack Guy Rd , Black River Falls WI 54615-5405 -
Wisconsin Cvs Pharmacy Llc
N95 West17707 Shady Ln , Menomonee Falls WI 53051 -
Waarvik Drug Inc
109 Main St , Black River Falls WI 54615-1748 -
Aurora Pharmacy Inc
N95W18273 County Line Rd , Menomonee Falls WI 53051-1333