River Prairie Pharmacy
River Prairie Pharmacy is a Community/Retail Pharmacy in Altoona, Wisconsin. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1490 Rivers Edge TrlAltoona, WI 54720-2755
Phone: (715) 828-2368
Fax: (715) 839-7796
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|---|
| Compounding Pharmacy | Taxonomy 3336C0004X |
Record details
| NPI number | 1598346587 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Defatta — Owner · (715) 828-2368 |
| NPI enumerated | April 20, 2021 |
| Last updated in NPPES | April 20, 2021 |
| Certification date | April 20, 2021 |
| Mailing address | 1490 Rivers Edge Trl, Altoona, WI 54720-2755 |