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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 1114
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION WISCONSIN PHARMACY, INC
Authorized official
MICHAEL R TORHORST (PHARMACY DIRECTOR)
(262) 687-2161
Entity
Organization
Contact information
Practice address
10180 WASHINGTON AVE STE 102, MOUNT PLEASANT, WI 53177-1604
(262) 687-7555
(262) 687-7556
Mailing address
5000 W CHAMBERS ST RM 115, 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
12/18/2019
Last updated
08/10/2021
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