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Organization
ASCENSION WISCONSIN PHARMACY, INC.
Active
Organization
ASCENSION WISCONSIN PHARMACY, INC.
Active
Parent organization
ASCENSION WISCONSIN PHARMACY, INC.
Other names
Ascension Rx 1115
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION WISCONSIN PHARMACY, INC.
Authorized official
JONATHAN W SOHN (CFO)
(414) 465-3090
Entity
Organization
Contact information
Practice address
9252 N GREEN BAY RD, BROWN DEER, WI 53209-1104
(414) 874-1035
(414) 874-1099
Mailing address
5000 W CHAMBERS ST RM 5223, MILWAUKEE, WI 53210-1650
(414) 874-1035
(414) 874-1099
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
03/18/2019
Last updated
08/12/2021
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