| NPI | 1700359031 |
|---|---|
| Doing Business As | ASCENSION WISCONSIN PHARMACY #501 |
| Entity Type | Organization |
| Authorized Contact | TRACY ANN ROGERS COO 414-465-3706 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-03-15 |