# ASCENSION WISCONSIN PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ascension Rx 1116
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013984194
- **Authorized official:** KRISTOPHER CYR (DIRECTOR)
- **Authorized official phone:** (262) 687-2151

## Contact information

- **Practice address:** 7400 W RAWSON AVE STE 140, FRANKLIN, WI 53132-8281
- **Practice address phone:** (414) 281-7500
- **Mailing address:** PO BOX 860011, MINNEAPOLIS, MN 55486-0011
- **Mailing address phone:** (414) 281-7500
- **Mailing address fax:** (414) 282-8610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 829242 | WI | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 12/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2110069 | PK | — |
| 05 | — | 33267900 | — | WI |