Yellow River Pharmacy Inc
LBN: Yellow River Pharmacy Inc
Yellow River Pharmacy Inc is an health care organization with primary practice located at 7438 Main St W , Webster WI 54893-8206. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Yellow River Pharmacy Inc can be contacted via phone (715) 866-8644, or through Paffel, Erica via phone (715) 866-8644.
Contact Information
Primary practice address
7438 Main St W
Webster WI 54893-8206
Phone: (715) 866-8644
Fax: (715) 866-7344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8806042 | Wisconsin |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1982649760 |
|---|---|
| LBN Legal business name | Yellow River Pharmacy Inc |
| DBA Doing business as | Yellow River Pharmacy Inc |
| Authorized official | Paffel, Erica PHRMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Feb 20th, 2017 - about 8 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 | 1982649760 | NPPES |
| Other | 2113263 | PK | |
| MEDICAID | 273613000 | PK | |
| MEDICAID | 36223500 | PK |
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