| NPI | 1104305085 |
|---|---|
| Doing Business As | ASCENSION WI PRESCRIPTION CENTER ST. MARY'S HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JONATHAN W SOHN CFO 414-465-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WI 9431-42) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2019-09-03 |