River Valley Pharmacy
LBN: River Valley Pharmacy Inc
River Valley Pharmacy is an health care organization with primary practice located at 208 S Adams St , Saint Croix Falls WI 54024-9449. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
River Valley Pharmacy Inc can be contacted via phone (715) 483-0426, or through Perszyk, Dale via phone (715) 483-0426.
Contact Information
Primary practice address
208 S Adams St
Saint Croix Falls WI 54024-9449
Phone: (715) 483-0426
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Clinic Pharmacy | 3336C0002X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 7931042 | Wisconsin |
Profile Details
NPI number | 1669584587 |
---|---|
LBN Legal business name | River Valley Pharmacy Inc |
DBA Doing business as | River Valley Pharmacy |
Authorized official | Perszyk, Dale |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Mar 26th, 2012 - about 12 years ago |
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 | 1669584587 | NPPES |
Other | 5118509 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
MEDICAID | 33069300 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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