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
—
—
3336L0003X
Long Term Care Pharmacy
—
—
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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