Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BLACK RIVER HEALTH INC
Active
Organization
BLACK RIVER HEALTH INC
Active
Other names
Clinic Pharmacy of Black River Falls, Black River Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY BUKOWSKI RPH (CFO)
(715) 284-3661
Entity
Organization
Contact information
Practice address
610 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9010
(715) 284-4089
(715) 284-1606
Mailing address
610 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9010
(715) 284-1323
(715) 284-1606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6945
WI
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33160900
—
WI
Enumeration date
12/28/2005
Last updated
01/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers