<Unavail>

LBN: River Valley Pharmacy Inc
<Unavail> 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:
Map and Directions
Authorized official contact:
Name: Perszyk, Dale
Phone: (715) 483-0426

Health care specialties

SpecialtyCodeLicense #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 <Unavail>
Authorized official Perszyk, Dale
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 26th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669584587 NPPES
Other 5118509 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 33069300 NCPDP PROVIDER IDENTIFICATION NUMBER

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