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Organization
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Active
Organization
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Active
Parent organization
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Other names
SKYWALK PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Authorized official
MARC CADIEUX (SENIOR VICE PRESIDENT, CFO)
(414) 266-6226
Entity
Organization
Contact information
Practice address
9000 W. WISCONSIN AVE., MILWAUKEE, WI 53226-4874
(414) 266-1893
(414) 266-1894
Mailing address
PO BOX 1997, MS 900 ROSALIE O'MEARA, MILWAUKEE, WI 53201-1997
(414) 266-2000
(414) 266-1894
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
8244-42
WI
3336C0004X
Compounding Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11019700
—
WI
01
—
2110046
PK
—
05
—
33265100
—
WI
Enumeration date
07/22/2006
Last updated
08/20/2025
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