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Ascension Wisconsin Pharmacy, Inc. — NPI 1114994209, Brookfield, WI | NPI Central

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NPI 1114994209

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Ascension Wisconsin Pharmacy, Inc.

NPI 1114994209 · Community/Retail Pharmacy · Brookfield, WI

Provider details

NPI number: 1114994209
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Kristopher Cyr, Director(262) 687-2151

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense 846242 (WI)
Suppliers
Pharmacy333600000X
Suppliers
Compounding Pharmacy3336C0004X
Suppliers

Practice location

19333 W North Ave

Suite 390

Brookfield, WI 53045-4132

Phone: (262) 780-4430

Fax: (262) 780-4440

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

Po Box 860011

Minneapolis, MN 55486-0011

Other names (DBA / former)

Doing business as: Ascension Rx 1104

Registry dates

Enumerated: 2006-03-07
Last updated: 2024-12-18
Certified: 2024-12-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.