# ASCENSION WISCONSIN PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ascension Rx 1106
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447227525
- **Authorized official:** KRISTOPHER CYR (DIRECTOR)
- **Authorized official phone:** (262) 687-2151

## Contact information

- **Practice address:** 201 N MAYFAIR RD, MILWAUKEE, WI 53226-4216
- **Practice address phone:** (414) 259-7440
- **Practice address fax:** (414) 259-7499
- **Mailing address:** PO BOX 860011, MINNEAPOLIS, MN 55486-0011
- **Mailing address phone:** (414) 259-7440
- **Mailing address fax:** (414) 259-7499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 833142 | WI | Yes |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 07/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2110086 | PK | — |
| 05 | — | 33270000 | — | WI |