NPI | 1053587055 |
---|---|
Doing Business As | ASCENSION RX 1105 |
Doing Business As | WHEATON FRANCISCAN PHARMACY #6845 |
Entity Type | Organization |
Authorized Contact | JONATHAN W SOHN CFO 414-465-3090 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 882842) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2008-04-30 |
Last Update Date | 2021-08-10 |