Organization
VERNON MEMORIAL HEALTHCARE INC
Active
Parent organization
VERNON MEMORIAL HEALTHCARE, INC.
Other names
VERNON MEMORIAL PHARMACY WESTBY
Organization subpart
Yes
Provider details
NPI number
Legal business name
VERNON MEMORIAL HEALTHCARE, INC.
Authorized official
DAVID HARTBERG (CEO)
(608) 637-4796
Entity
Organization
Contact information
Practice address
115 W STATE ST, WESTBY, WI 54667-1254
(608) 634-2222
(608) 634-2427
Mailing address
115 W STATE ST, WESTBY, WI 54667-1254
(608) 634-2222
(608) 634-2427
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8815-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111118
PK
—
05
—
36225100
—
WI
Enumeration date
05/08/2008
Last updated
01/07/2020
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