Organization
WAUKESHA HEALTH SYSTEM INC
Active
Other names
Prohealth Care Inc, PROHEALTH PHARMACY - PEWAUKEE
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JOHNSON (REIMBURSEMENT MANAGER)
(262) 928-4704
Entity
Organization
Contact information
Practice address
N16W24131 RIVERWOOD DR STE 1121, WAUKESHA, WI 53188-1106
(262) 696-0919
(262) 696-0922
Mailing address
N16W24131 RIVERWOOD DR STE 1121, WAUKESHA, WI 53188-1106
(262) 696-0919
(262) 696-0922
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9320-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138579
PK
—
Enumeration date
01/16/2013
Last updated
03/24/2026
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