<Unavail>
LBN: Ascension Wisconsin Pharmacy, Inc
<Unavail> is an health care organization with primary practice located at 3400 Ministry Pkwy , Weston WI 54476-5220. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Ascension Wisconsin Pharmacy, Inc can be contacted via phone (715) 355-9573, or through Sohn, Jonathan W via phone (414) 465-3090.
Contact Information
Primary practice address
3400 Ministry Pkwy
Weston WI 54476-5220
Phone: (715) 355-9573
Fax: (715) 355-9579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 9431-42 | Wisconsin |
Profile Details
| NPI number | 1154812303 |
|---|---|
| LBN Legal business name | Ascension Wisconsin Pharmacy, Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Sohn, Jonathan W |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 23rd, 2018 |
| Last updated | Sep 3rd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154812303 | NPPES |
| Wisconsin | MEDICAID | 33112800 | |
| Wisconsin | Other | 2177608 |
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