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River Run Pharmacies, Inc

Organization Active NPI Health Service Clinic/Center · Montello, WI

NPI 1609764232 · NPPES record last updated Jul 3, 2025

Key facts

NPI
1609764232
Entity type
Organization (NPI type 2)
Primary specialty
Health Service Clinic/Center 261QH0100X
Legal business name
RIVER RUN PHARMACIES, INC
Practice address
120 Underwood Ave
Montello, WI 53949-9354
Phone
(608) 297-2474
Fax
(608) 716-3159
NPI assigned
Jun 24, 2025
Organization subpart
No

Authorized official

Name
Eric D Jachthuber, RPH
Title
Owner
Phone
(608) 297-7452

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2316765CWP - Montello
120 Underwood Ave, Montello, WI 53949		Certificate of waiverJan 12, 2027

National Provider Directory

Tax ID family
River Run Pharmacies Inc (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Health Service Clinic/Center 261QH0100X Yes
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

120 Underwood Ave
Montello, WI 53949-9354

Mailing address

120 Underwood Ave
Montello, WI 53949-9354
Phone (608) 297-2474

Other names

  • CWP Montello Doing business as

Other providers in Montello, WI

All providers in Montello, WI · Health Service Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.