# WAUKESHA HEALTH SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAUKESHA HEALTH SYSTEM, INC.
- **Other names:** ProHealth Pharmacy-Mukwonago
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932772605
- **Legal business name:** WAUKESHA HEALTH SYSTEM, INC.
- **Authorized official:** MR. THOMAS W JOHNSON (REIMBURSEMENT MANAGER)
- **Authorized official phone:** (262) 928-4704

## Contact information

- **Practice address:** 240 MAPLE AVE STE 1420, MUKWONAGO, WI 53149-8475
- **Practice address phone:** (262) 521-7410
- **Practice address fax:** (262) 953-8829
- **Mailing address:** N17 W24100 RIVERWOOD DR., STE. 200, WAUKESHA, WI 53188-1187
- **Mailing address phone:** (262) 928-1000
- **Mailing address fax:** (262) 953-8829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2021
- **Last updated:** 12/14/2022