# ASCENSION WISCONSIN PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASCENSION WISCONSIN PHARMACY, INC.
- **Other names:** Ascension WI Prescription Center St. Clare's Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295299394
- **Legal business name:** ASCENSION WISCONSIN PHARMACY, INC.
- **Authorized official:** TRACY ANN ROGERS (COO)
- **Authorized official phone:** (414) 465-3706

## Contact information

- **Practice address:** 3400 MINISTRY PKWY, WESTON, WI 54476-5220
- **Practice address phone:** (715) 393-3750
- **Practice address fax:** (715) 393-3752
- **Mailing address:** 5000 W CHAMBERS ST RM 115, MILWAUKEE, WI 53210-1650
- **Mailing address phone:** (414) 874-1035
- **Mailing address fax:** (414) 874-1099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2019
- **Last updated:** 03/14/2019