Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Other names
CMH Primary Care Clinic, Remote Dispensing Registration
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON E KNOX (PHARMACY MANAGER)
(920) 846-3444
Entity
Organization
Contact information
Practice address
913 MAIN ST, SURING, WI 54174-9012
(920) 842-1147
(920) 842-1160
Mailing address
913 MAIN ST, SURING, WI 54174-9012
(920) 842-1147
(920) 842-1160
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/31/2009
Last updated
03/07/2023
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