# CHILDREN'S HOSPITAL OF WISCONSIN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDREN'S HOSPITAL OF WISCONSIN, INC.
- **Other names:** SKYWALK PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265453229
- **Legal business name:** CHILDREN'S HOSPITAL OF WISCONSIN, INC.
- **Authorized official:** MARC CADIEUX (SENIOR VICE PRESIDENT, CFO)
- **Authorized official phone:** (414) 266-6226

## Contact information

- **Practice address:** 9000 W. WISCONSIN AVE., MILWAUKEE, WI 53226-4874
- **Practice address phone:** (414) 266-1893
- **Practice address fax:** (414) 266-1894
- **Mailing address:** PO BOX 1997, MS 900 ROSALIE O'MEARA, MILWAUKEE, WI 53201-1997
- **Mailing address phone:** (414) 266-2000
- **Mailing address fax:** (414) 266-1894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8244-42 | WI | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 08/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 11019700 | — | WI |
| 01 | — | 2110046 | PK | — |
| 05 | — | 33265100 | — | WI |