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Organization
ASCENSION WISCONSIN PHARMACY, INC.
Active
Organization
ASCENSION WISCONSIN PHARMACY, INC.
Active
Other names
Ascension Rx 1116
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER CYR (DIRECTOR)
(262) 687-2151
Entity
Organization
Contact information
Practice address
7400 W RAWSON AVE STE 140, FRANKLIN, WI 53132-8281
(414) 281-7500
Mailing address
PO BOX 860011, MINNEAPOLIS, MN 55486-0011
(414) 281-7500
(414) 282-8610
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
829242
WI
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110069
PK
—
05
—
33267900
—
WI
Enumeration date
03/07/2006
Last updated
12/18/2024
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