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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