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General NPI Number Information
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NPI Number | 1902970205
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Entity Type | Organization
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Legal Business Name | RIVER RUN PHARMACIES, INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 206 S MAIN ST
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City | WESTFIELD
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State | WI
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Zip | 53964-7506
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Country | US
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Telephone | 608-296-2877
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Fax | 608-296-2184
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Provider Business Mailing Address
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Address Line | PO BOX 186
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City | WESTFIELD
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State | WI
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Zip | 53964-0186
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Country | US
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Telephone | 608-296-2877
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Fax | 608-296-2184
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Authorized Official
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Title or Position | OWNER
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Name | ERIC D JACHTHUBER
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Credential |
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Telephone | 608-297-7452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 6640-42
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License Number State | WI
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