| NPI | 1710222989 |
|---|---|
| Doing Business As | BAD RIVER CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JUNE LOUISE WILLIAMS Billing/Prc Manager 715-682-7133 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2024-06-03 |