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Organization
WISCONSIN VETERANS HOME PHCY
Active
Organization
WISCONSIN VETERANS HOME PHCY
Active
Other names
WISCONSIN VETERANS HOME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
COLT COONEY PHARMACIST (SUPERVISOR)
(715) 256-5123
Entity
Organization
Contact information
Practice address
N2665 COUNTY ROAD QQ, KING, WI 54946-0600
(715) 258-1674
(715) 258-3327
Mailing address
N2665 COUNTY ROAD QQ, KING, WI 54946-0600
(715) 258-1674
(715) 258-3327
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5568
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113651
PK
—
05
—
5112379
—
WI
Enumeration date
07/25/2006
Last updated
01/08/2026
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