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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8806042
WI
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
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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