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Organization
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Active
Organization
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Active
Other names
Newport Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA ANDERSON (CFO)
(414) 270-4850
Entity
Organization
Contact information
Practice address
2015 E NEWPORT AVE, STE M121, MILWAUKEE, WI 53211-2984
(414) 961-3464
(414) 961-5378
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 291-1303
(414) 278-2809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8525-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33213400
—
WI
Enumeration date
11/03/2005
Last updated
06/09/2011
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