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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33160900
—
WI
Enumeration date
12/28/2005
Last updated
01/27/2026
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