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Organization
ASCENSION WISCONSIN PHARMACY, INC
Active
Organization
ASCENSION WISCONSIN PHARMACY, INC
Active
Other names
Ascension WI Prescription Center St. Mary's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN W SOHN (CFO)
(414) 465-3090
Entity
Organization
Contact information
Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-6710
(715) 355-9573
(715) 355-9579
Mailing address
PO BOX 860011, MINNEAPOLIS, MN 55486-0011
(414) 874-1026
(414) 874-1099
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
9431-42
WI
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
08/10/2018
Last updated
09/03/2019
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