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Organization
THE PHARMACY OF NEW LONDON INC.
Active
Organization
THE PHARMACY OF NEW LONDON INC.
Active
Other names
Jernegan's Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIM JERNEGAN RPH (OWNER PHARMACIST)
(920) 982-7670
Entity
Organization
Contact information
Practice address
1301 MILL ST, NEW LONDON, WI 54961-2153
(920) 982-7670
(920) 982-7686
Mailing address
1301 MILL ST, NEW LONDON, WI 54961-2153
(920) 982-7670
(920) 982-7686
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
6861
WI
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33152900
—
WI
01
—
5118698
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
03/07/2023
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