ASCENSION WISCONSIN PHARMACY, INC.
10101 S 27th St Room 1005
Franklin, WI 53132
414-325-4740
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | WI | 882842 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2111104 | OTHER | |
36228300 | WI | MEDICAID |