| NPI | 1659362101 |
|---|---|
| Doing Business As | ASCENSION RX 1112 |
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER CYR Director 262-687-2151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2024-12-18 |