# JERRYS ENTERPRISES INC

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

## Provider details

- **NPI number:** 1609969039
- **Authorized official:** JOYCE LARSON R.PH. (CONTROLLER)
- **Authorized official phone:** (952) 928-1698

## Contact information

- **Practice address:** 2310 CREST VIEW DR, HUDSON, WI 54016-9315
- **Practice address phone:** (715) 381-5923
- **Practice address fax:** (715) 381-5993
- **Mailing address:** 2310 CREST VIEW DR, HUDSON, WI 54016-9315
- **Mailing address phone:** (715) 381-5923
- **Mailing address fax:** (715) 381-5993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8363-42 | WI | Yes |

## Other

- **Enumeration date:** 09/30/2006
- **Last updated:** 02/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2108748 | PK | — |
| 05 | — | 33272100 | — | WI |