Organization · Type 2 NPI

Ascension Wisconsin Pharmacy, Inc.

Community/Retail Pharmacy · Mequon, WI

NPI number 1154894483 Active

Practice location

13133 N Port Washington Rd Ste G101
Mequon, WI 53097-2419

Call (262) 243-6700 Map

Fax (262) 243-6701

Mailing address

5000 W Chambers St Rm 115
Milwaukee, WI 53210-1650

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1154894483
Entity type: Organization (Type 2)
Issued: Jan 9, 2019
Last updated: Mar 15, 2019
Status: Active
Subpart: Yes of Ascension Wisconsin Pharmacy, Inc.

Other names

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Ascension Wisconsin Pharmacy #502 · doing business as
Ascension Wisconsin Pharmacy #502 · doing business as

Authorized official

Tracy Ann Rogers
COO
(414) 465-3706

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154894483

Ascension Wisconsin Pharmacy, Inc.'s National Provider Identifier is 1154894483, issued on Jan 9, 2019. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mequon, WI. The record was last updated on Mar 15, 2019.