WAUPACA WOODS PHARMACY INC. NPI 1639248172

NPI Information

  • NPI: 1639248172
  • Provider Name: WAUPACA WOODS PHARMACY INC.
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: RIVERSIDE CLINIC PHARMACY
  • Address: 800 RIVERSIDE DR
    WAUPACA, WI
    ZIP 54981
  • Phone: (715) 256-1115

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NPI Details

WAUPACA WOODS PHARMACY INC. is a clinic pharmacy pharmacy in Waupaca, WI. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. WAUPACA WOODS PHARMACY INC. NPI is 1639248172. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverside Clinic Pharmacy.

The provider's business location address is:

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981-943
Phone: (715) 256-1115
Fax: (715) 256-1105

The provider's authorized official is Jeffrey Leo Oestreich .
The authorized official title is President and has the following contact phone number (715) 256-1115.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 6/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic Pharmacy7739WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133228100MEDICAIDWISCONSIN
20200490001MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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