Organization
WAUKESHA HEALTH SYSTEM, INC
Active
Other names
waukesha pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NAN NELSON (VICE PRESIDENT FINACE, PHCI)
(262) 928-4740
Entity
Organization
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2279
(262) 544-0928
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2279
(262) 544-0928
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
6694042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33154500
—
WI
Enumeration date
09/12/2006
Last updated
08/22/2020
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