Ascension Wisconsin Pharmacy, Inc.

NPI #1154894483 in Mequon, Wisconsin

Provider Information

NPI Number
1154894483
Entity Type
Organization
Organization Name
Ascension Wisconsin Pharmacy, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
ASCENSION WISCONSIN PHARMACY, INC.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 9, 2019
Last Updated
Mar 15, 2019

Practice Location

Address
13133 N PORT WASHINGTON RD STE G101
City
Mequon
ZIP Code
53097-2419
Phone
(262) 243-6700

Authorized Official

Name
TRACY ANN ROGERS
Title
COO
Phone
(414) 465-3706

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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