<Unavail>

LBN: Ascension Wisconsin Pharmacy, Inc.
<Unavail> is an health care organization with primary practice located at 3237 S 16Th St Room 121, Milwaukee WI 53215-4526. 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 (414) 647-5300, or through Cyr, Kristopher via phone (262) 687-2151.

Contact Information

Primary practice address
3237 S 16Th St Room 121 Milwaukee WI 53215-4526
Fax: (414) 647-5304
Website:
Authorized official contact:
Name: Cyr, Kristopher

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 869642 Wisconsin

Profile Details

NPI number 1407924129
LBN Legal business name Ascension Wisconsin Pharmacy, Inc.
DBA Doing business as <Unavail>
Authorized official Cyr, Kristopher
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Dec 18th, 2024 - about 2 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 1407924129 NPPES
Wisconsin MEDICAID 33294300
Wisconsin Other 2111001

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