ASCENSION WISCONSIN PHARMACY, INC.
19333 W North Ave Suite 390
Brookfield, WI 53045
262-780-4430
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | WI | 846242 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2110236 | OTHER | |
33280000 | WI | MEDICAID |