Organization
ASCENSION WISCONSIN PHARMACY, INC.
Active
Parent organization
ASCENSION WISCONSIN PHARMACY, INC.
Other names
Ascension Wisconsin Pharmacy #502
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION WISCONSIN PHARMACY, INC.
Authorized official
TRACY ANN ROGERS (COO)
(414) 465-3706
Entity
Organization
Contact information
Practice address
13133 N PORT WASHINGTON RD STE G101, MEQUON, WI 53097-2419
(262) 243-6700
(262) 243-6701
Mailing address
5000 W CHAMBERS ST RM 115, MILWAUKEE, WI 53210-1650
(414) 874-1035
(414) 874-1099
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
03/15/2019
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