# CHILDREN'S HOSPITAL OF WISCONSIN, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619392420
- **Authorized official:** MR. WELDON W GAGE (CFO/TREASURER)
- **Authorized official phone:** (414) 266-6401

## Contact information

- **Practice address:** 999 N 92ND ST, MILWAUKEE, WI 53226-4875
- **Practice address phone:** (414) 266-3303
- **Practice address fax:** (414) 266-1539
- **Mailing address:** PO BOX 1997, MILWAUKEE, WI 53201-1997
- **Mailing address phone:** (414) 266-2000
- **Mailing address fax:** (414) 266-6409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 9244-42 | WI | Yes |

## Other

- **Enumeration date:** 03/03/2014
- **Last updated:** 03/03/2014