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Organization

COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC

Active
Other names
Newport Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RHONDA ANDERSON (CFO)
(414) 270-4850
Entity
Organization

Contact information

Practice address
2015 E NEWPORT AVE, STE M121, MILWAUKEE, WI 53211-2984
(414) 961-3464
(414) 961-5378
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 291-1303
(414) 278-2809

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8525-042
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33213400
WI
Enumeration date
11/03/2005
Last updated
06/09/2011
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