Waarvik Drug INC
Pharmacy, Community/Retail Pharmacy in Black River Falls, WI. Organization (NPI-2).
NPI number1255414330
StatusActive
Last updated in NPPESMay 3, 2010
Details
- NPI
- 1255414330
- Entity type
- Organization (NPI-2)
- Legal business name
- Waarvik Drug INC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- May 3, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 7290042 | WI | Yes |
Practice location
109 Main StBlack River Falls, WI 54615-1748
Phone 715-284-4354 · Fax 715-284-9053
Mailing address
109 Main StBlack River Falls, WI 54615-1748
Phone 715-284-4354 · Fax 715-284-9053
Authorized official
Jerold R Grassman
Owner/President/Pharmacist
7152844354
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