ASCENSION WISCONSIN PHARMACY, INC.
3237 S 16th St Room 121
Milwaukee, WI 53215
414-647-5300
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | WI | 869642 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2111001 | OTHER | |
33294300 | WI | MEDICAID |