| NPI | 1851939037 |
|---|---|
| Doing Business As | ASCENSION RX 1114 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL R TORHORST Pharmacy Director 262-687-2161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2021-08-10 |