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Organization
ASCENSION WISCONSIN PHARMACY, INC.
Active
Organization
ASCENSION WISCONSIN PHARMACY, INC.
Active
Other names
Ascension Rx 1103
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER CYR (DIRECTOR)
(262) 687-2151
Entity
Organization
Contact information
Practice address
5000 W CHAMBERS ST, RM 1801, MILWAUKEE, WI 53210-1650
(414) 447-2585
(414) 447-2592
Mailing address
PO BOX 860011, MINNEAPOLIS, MN 55486-0011
(414) 447-2585
(414) 447-2592
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
8341-42
WI
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110093
PK
—
05
—
33270900
—
WI
Enumeration date
03/07/2006
Last updated
12/18/2024
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