# WHEATON FRANCISCAN PHARMACY

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

## Provider details

- **NPI number:** 1902990179
- **Authorized official:** MR. JAY D RICE RPH (VICE PRESIDENT PHARMACY SERVICES)
- **Authorized official phone:** (414) 874-6217

## Contact information

- **Practice address:** 13950 W CAPITOL DR, BROOKFIELD, WI 53005-2441
- **Practice address phone:** (414) 874-6200
- **Practice address fax:** (414) 874-6215
- **Mailing address:** 13950 W CAPITOL DR, BROOKFIELD, WI 53005-2441
- **Mailing address phone:** (414) 874-6200
- **Mailing address fax:** (414) 874-6215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 9028-042 | WI | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 02/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33063600 | — | WI |