Organization
VERNON MEMORIAL HEALTHCARE INC
Active
Parent organization
VERNON MEMORIAL HEALTHCARE INC
Other names
Vernon Memorial Pharmacy Lafarge
Organization subpart
Yes
Provider details
NPI number
Legal business name
VERNON MEMORIAL HEALTHCARE INC
Authorized official
RAMONA FLORENE HANSON (PHARMACY BILLING)
(608) 637-4718
Entity
Organization
Contact information
Practice address
206 N. MILL ST., LAFARGE, WI 54639
(608) 625-2552
(608) 625-2553
Mailing address
407 S MAIN ST STE 104, VIROQUA, WI 54665-4004
(608) 637-4718
(608) 637-4719
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9310-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100044373
—
WI
01
—
2151111
PK
—
Enumeration date
04/02/2015
Last updated
05/31/2024
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