Organization
ASCENSION WISCONSIN PHARMACY, INC
Active
Parent organization
ASCENSION WISCONSIN PHARMACY, INC
Other names
Ascension Rx 1109
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION WISCONSIN PHARMACY, INC
Authorized official
KRISTOPHER CYR (DIRECTOR)
(262) 687-2151
Entity
Organization
Contact information
Practice address
13133 N PORT WASHINGTON RD, SUITE G01, MEQUON, WI 53097-2419
(262) 243-6700
(262) 243-6701
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
06/25/2007
Last updated
12/18/2024
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