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:
Map and Directions
Authorized official contact:
Name: Paffel, Erica PHRMD
Phone: (715) 866-8644

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982649760 NPPES
Other 2113263 PK
MEDICAID 273613000 PK
MEDICAID 36223500 PK

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