Ascension Rx 1103

LBN: Ascension Wisconsin Pharmacy, Inc.
Ascension Rx 1103 is an health care organization with primary practice located at 5000 W Chambers St Rm 1801, Milwaukee WI 53210-1650. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ascension Wisconsin Pharmacy, Inc. can be contacted via phone (414) 447-2585, or through Sohn, Jonathan W via phone (414) 465-3090.

Contact Information

Primary practice address
5000 W Chambers St Rm 1801 Milwaukee WI 53210-1650
Phone: (414) 447-2585
Fax: (414) 447-2592
Website:
Map and Directions
Authorized official contact:
Name: Sohn, Jonathan W
Phone: (414) 465-3090

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8341-42 Wisconsin
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1093782179
LBN Legal business name Ascension Wisconsin Pharmacy, Inc.
DBA Doing business as Ascension Rx 1103
Authorized official Sohn, Jonathan W
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Aug 10th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093782179 NPPES
Other 2110093 PK
MEDICAID 33270900 PK

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