Organization
ASCENSION WISCONSIN PHARMACY, INC.
Active
Other names
Ascension Rx 1116
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER CYR (DIRECTOR)
(262) 687-2151
Entity
Organization
Contact information
Practice address
7400 W RAWSON AVE STE 140, FRANKLIN, WI 53132-8281
(414) 281-7500
Mailing address
PO BOX 860011, MINNEAPOLIS, MN 55486-0011
(414) 281-7500
(414) 282-8610
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
829242
WI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110069
PK
—
05
—
33267900
—
WI
Enumeration date
03/07/2006
Last updated
12/18/2024
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