Organization
ASPIRUS WAUSAU HOSPITAL OUTPATIENT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
(715) 847-2526
Entity
Organization
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2871
(715) 847-2551
Mailing address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2871
(715) 847-2551
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7878-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361120002
—
WI
Enumeration date
12/19/2006
Last updated
06/11/2024
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