Ascension Wisconsin Pharmacy, Inc.

Organization Active NPI Community/Retail Pharmacy · Weston, WI

NPI 1295299394 · NPPES record last updated Mar 14, 2019

Key facts

NPI
1295299394
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
ASCENSION WISCONSIN PHARMACY, INC.
Practice address
3400 Ministry Pkwy
Weston, WI 54476-5220
Phone
(715) 393-3750
Fax
(715) 393-3752
NPI assigned
Jan 23, 2019
Organization subpart
Yes
Parent organization (as reported)
ASCENSION WISCONSIN PHARMACY, INC.

Authorized official

Name
Tracy Ann Rogers
Title
Coo
Phone
(414) 465-3706

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Convenant Pharmacy (26 organizations share this tax ID)
Part of
Convenant Pharmacy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

3400 Ministry Pkwy
Weston, WI 54476-5220

Mailing address

5000 W Chambers St RM 115
Milwaukee, WI 53210-1650
Phone (414) 874-1035

Other names

  • Ascension WI Prescription Center St. Clare's Hospital Doing business as

Other providers in Weston, WI

All providers in Weston, WI · Community/Retail Pharmacy in Wisconsin

Sources for this page

Verify at the official NPI Registry.