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Organization
RIVER NORTH PHARMACY
Active
Organization
RIVER NORTH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG R SMITH RPH (PRESIDENT/OWNER)
(715) 479-4736
Entity
Organization
Contact information
Practice address
711-E HWY 45 NORTH, EAGLE RIVER, WI 54521
(715) 479-4736
(715) 479-1320
Mailing address
711-E HWY 45 NORTH, P.O. BOX 1477, EAGLE RIVER, WI 54521
(715) 479-4736
(715) 479-1320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11609
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33251400
—
WI
01
—
5105728
NABP OR PCPDP NUMBER
WI
Enumeration date
07/20/2006
Last updated
11/19/2007
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