| NPI | 1114994209 |
|---|---|
| Doing Business As | ASCENSION RX 1104 |
| Entity Type | Organization |
| Authorized Contact | JONATHAN W SOHN CFO 414-465-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 846242) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2021-08-10 |