Organization
WAUKESHA HEALTH SYSTEM, INC
Active
Parent organization
WAUKESHA HEALTH SYSTEM, INC.
Other names
ProHealth Pharmacy-Mukwonago
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAUKESHA HEALTH SYSTEM, INC.
Authorized official
MR. THOMAS W JOHNSON (REIMBURSEMENT MANAGER)
(262) 928-4704
Entity
Organization
Contact information
Practice address
240 MAPLE AVE STE 1420, MUKWONAGO, WI 53149-8475
(262) 521-7410
(262) 953-8829
Mailing address
N17 W24100 RIVERWOOD DR., STE. 200, WAUKESHA, WI 53188-1187
(262) 928-1000
(262) 953-8829
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
12/14/2022
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