Ascension Wisconsin Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Milwaukee, WI
NPI 1700359031 · NPPES record last updated Mar 15, 2019
Key facts
- NPI
- 1700359031
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ASCENSION WISCONSIN PHARMACY, INC.
- Practice address
- 2301 N Lake Dr
Milwaukee, WI 53211-4508 - Phone
- (414) 585-1303
- Fax
- (414) 585-2809
- NPI assigned
- Jan 9, 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
National Provider Directory
- Tax ID family
- Convenant Pharmacy
- Part of
- Convenant Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
2301 N Lake Dr
Milwaukee, WI 53211-4508
Mailing address
2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1303
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9543-42 | Other | WI | STATE PHARMACY LICENSE |
Other names
- Ascension Wisconsin Pharmacy #501
Other providers in Milwaukee, WI
- Ascension Wisconsin Laboratories, Inc
- Ascension Wisconsin Pharmacy Inc
- Ascension Wisconsin Pharmacy, Inc
- Ascension Wisconsin Pharmacy, Inc.
- Ascension Wisconsin Pharmacy, Inc.
- Ascent for Life, Inc
- Ascent Physical Therapy LLC
- Amy Aschenbrener
- Mark Randall Aschliman
- Eyerusalem Asfaw
All providers in Milwaukee, WI · Community/Retail Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.