Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ASCENSION WISCONSIN PHARMACY, INC.
Active
Organization
ASCENSION WISCONSIN PHARMACY, INC.
Active
Other names
Ascension Rx 1104
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER CYR (DIRECTOR)
(262) 687-2151
Entity
Organization
Contact information
Practice address
19333 W NORTH AVE, SUITE 390, BROOKFIELD, WI 53045-4132
(262) 780-4430
(262) 780-4440
Mailing address
PO BOX 860011, MINNEAPOLIS, MN 55486-0011
(262) 780-4430
(262) 780-4440
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
846242
WI
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110236
PK
—
05
—
33280000
—
WI
Enumeration date
03/07/2006
Last updated
12/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers