Organization
ASCENSION WISCONSIN PHARMACY, INC
Active
Other names
Ascension WI Prescription Center St. Mary's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN W SOHN (CFO)
(414) 465-3090
Entity
Organization
Contact information
Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-6710
(715) 355-9573
(715) 355-9579
Mailing address
PO BOX 860011, MINNEAPOLIS, MN 55486-0011
(414) 874-1026
(414) 874-1099
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
9431-42
WI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
09/03/2019
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