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Contact Information

WISCONSIN VETERANS HOME PHARMACY
LBN WISCONSIN VETERANS HOME PHCY
N2665 COUNTY ROAD QQ
KING, WI54946
 Phone: 715-258-1674
 Fax: 715-258-3327
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WISCONSIN VETERANS HOME PHARMACY

NPI Number 1235151267
LBN Legal business name WISCONSIN VETERANS HOME PHCY
DBA Doing business as WISCONSIN VETERANS HOME PHARMACY
Authorized official COLT COONEY - (SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 01/08/2026 - About 5 months ago
Identifiers
WI License # 5568
WI Medicaid 5112379
Other 2113651 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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