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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 1111
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
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 831-8467
(920) 831-8499
Mailing address
PO BOX 860644, MINNEAPOLIS, MN 55486-0644
(414) 874-1035
(414) 874-1099
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
07/19/2018
Last updated
08/12/2021
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