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 |