| NPI | 1790878122 |
|---|---|
| Doing Business As | ASCENSION RX 1100 |
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER CYR Director 262-687-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 848742) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2024-12-18 |