# RIVER NORTH PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558381459
- **Authorized official:** MR. CRAIG R SMITH RPH (PRESIDENT/OWNER)
- **Authorized official phone:** (715) 479-4736

## Contact information

- **Practice address:** 711-E HWY 45 NORTH, EAGLE RIVER, WI 54521
- **Practice address phone:** (715) 479-4736
- **Practice address fax:** (715) 479-1320
- **Mailing address:** 711-E HWY 45 NORTH, P.O. BOX 1477, EAGLE RIVER, WI 54521
- **Mailing address phone:** (715) 479-4736
- **Mailing address fax:** (715) 479-1320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 11609 | WI | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 11/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33251400 | — | WI |
| 01 | — | 5105728 | NABP OR PCPDP NUMBER | WI |