# JERRYS ENTERPRISES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** COUNTY MARKET PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588778575
- **Authorized official:** KEITH HOEHN RPH (PHARMACY MANAGER)
- **Authorized official phone:** (715) 218-3925

## Contact information

- **Practice address:** 220 S 18TH AVE, WAUSAU, WI 54401-4252
- **Practice address phone:** (715) 842-3541
- **Practice address fax:** (715) 845-5306
- **Mailing address:** 220 S 18TH AVE, WAUSAU, WI 54401-4252
- **Mailing address phone:** (715) 842-3541
- **Mailing address fax:** (715) 845-5306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8362042 | WI | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 11/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2113198 | PK | — |
| 05 | — | 33271600 | — | WI |