Organization
ASCENSION WISCONSIN PHARMACY, INC.
Active
Parent organization
ASCENSION WISCONSIN PHARMACY, INC.
Other names
Ascension Rx 707
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION WISCONSIN PHARMACY, INC.
Authorized official
JONATHAN W SOHN (CFO)
(414) 465-3090
Entity
Organization
Contact information
Practice address
1120 PINE ST, STANLEY, WI 54768-1297
(715) 644-6333
(715) 644-6334
Mailing address
5000 W CHAMBERS ST RM 5223, 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
03/06/2019
Last updated
10/12/2020
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