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Organization
YELLOW RIVER PHARMACY INC
Active
Organization
YELLOW RIVER PHARMACY INC
Active
Other names
YELLOW RIVER PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA PAFFEL PHRMD (PRESIDENT)
(715) 866-8644
Entity
Organization
Contact information
Practice address
7438 MAIN ST W, WEBSTER, WI 54893-8206
(715) 866-8644
(715) 866-7344
Mailing address
PO BOX 26, WEBSTER, WI 54893-0026
(715) 866-8644
(715) 866-7344
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
8806042
WI
3336L0003X
Long Term Care Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113263
PK
—
05
—
273613000
—
MN
05
—
36223500
—
WI
Enumeration date
06/17/2006
Last updated
02/20/2017
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