Jernegan'S Health Mart Pharmacy

LBN: The Pharmacy Of New London Inc.
Jernegan'S Health Mart Pharmacy is an health care organization with primary practice located at 1301 Mill St , New London WI 54961-2153. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. The Pharmacy Of New London Inc. can be contacted via phone (920) 982-7670, or through Jernegan, Jim via phone (920) 982-7670.

Contact Information

Primary practice address
1301 Mill St New London WI 54961-2153
Phone: (920) 982-7670
Fax: (920) 982-7686
Website:
Map and Directions
Authorized official contact:
Name: Jernegan, Jim RPH
Phone: (920) 982-7670

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 6861 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1295847119
LBN Legal business name The Pharmacy Of New London Inc.
DBA Doing business as Jernegan'S Health Mart Pharmacy
Authorized official Jernegan, Jim RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295847119 NPPES
Wisconsin MEDICAID 33152900
Wisconsin Other 5118698

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