# YELLOW RIVER PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** YELLOW RIVER PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982649760
- **Authorized official:** ERICA PAFFEL PHRMD (PRESIDENT)
- **Authorized official phone:** (715) 866-8644

## Contact information

- **Practice address:** 7438 MAIN ST W, WEBSTER, WI 54893-8206
- **Practice address phone:** (715) 866-8644
- **Practice address fax:** (715) 866-7344
- **Mailing address:** PO BOX 26, WEBSTER, WI 54893-0026
- **Mailing address phone:** (715) 866-8644
- **Mailing address fax:** (715) 866-7344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8806042 | WI | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 02/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2113263 | PK | — |
| 05 | — | 273613000 | — | MN |
| 05 | — | 36223500 | — | WI |