# THE PHARMACY OF NEW LONDON INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jernegan's Health Mart Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295847119
- **Authorized official:** JIM JERNEGAN RPH (OWNER PHARMACIST)
- **Authorized official phone:** (920) 982-7670

## Contact information

- **Practice address:** 1301 MILL ST, NEW LONDON, WI 54961-2153
- **Practice address phone:** (920) 982-7670
- **Practice address fax:** (920) 982-7686
- **Mailing address:** 1301 MILL ST, NEW LONDON, WI 54961-2153
- **Mailing address phone:** (920) 982-7670
- **Mailing address fax:** (920) 982-7686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 6861 | WI | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33152900 | — | WI |
| 01 | — | 5118698 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |