# ASCENSION WISCONSIN PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ascension Rx 705
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386115202
- **Authorized official:** JONATHAN W SOHN (CFO)
- **Authorized official phone:** (414) 465-3090

## Contact information

- **Practice address:** 900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
- **Practice address phone:** (715) 346-0750
- **Practice address fax:** (715) 346-5698
- **Mailing address:** 5000 W CHAMBERS ST RM 5223, 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:** 12/17/2018
- **Last updated:** 10/12/2020