Organization
ASCENSION ALL SAINTS HOSPITAL, INC
Active
Other names
Ascension Rx 1100
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER CYR (DIRECTOR)
(262) 687-2151
Entity
Organization
Contact information
Practice address
1244 WISCONSIN AVE, RACINE, WI 53403-1987
(262) 687-2150
(262) 687-5500
Mailing address
1244 WISCONSIN AVE, RACINE, WI 53403-1987
(262) 687-2150
(262) 687-5500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
848742
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2114060
PK
—
05
—
33020700
—
WI
Enumeration date
09/30/2006
Last updated
12/18/2024
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