# ASCENSION WISCONSIN PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASCENSION WISCONSIN PHARMACY, INC
- **Other names:** Ascension Rx 1114
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851939037
- **Legal business name:** ASCENSION WISCONSIN PHARMACY, INC
- **Authorized official:** MICHAEL R TORHORST (PHARMACY DIRECTOR)
- **Authorized official phone:** (262) 687-2161

## Contact information

- **Practice address:** 10180 WASHINGTON AVE STE 102, MOUNT PLEASANT, WI 53177-1604
- **Practice address phone:** (262) 687-7555
- **Practice address fax:** (262) 687-7556
- **Mailing address:** 5000 W CHAMBERS ST RM 115, 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:** 12/18/2019
- **Last updated:** 08/10/2021