# ASCENSION WISCONSIN PHARMACY, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASCENSION WISCONSIN PHARMACY, INC.
- **Other names:** Ascension Rx 1115
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427517408
- **Legal business name:** ASCENSION WISCONSIN PHARMACY, INC.
- **Authorized official:** JONATHAN W SOHN (CFO)
- **Authorized official phone:** (414) 465-3090

## Contact information

- **Practice address:** 9252 N GREEN BAY RD, BROWN DEER, WI 53209-1104
- **Practice address phone:** (414) 874-1035
- **Practice address fax:** (414) 874-1099
- **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:** 03/18/2019
- **Last updated:** 08/12/2021