| NPI | 1619453990 |
|---|---|
| Doing Business As | ASCENSION RX 1111 |
| Entity Type | Organization |
| Authorized Contact | JONATHAN W SOHN CFO 414-465-3090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2021-08-12 |