OrganizationActive
Ascension Wisconsin Pharmacy, Inc.
NPI 1154894483 · Community/Retail Pharmacy · Mequon, WI
Provider details
- NPI number
- 1154894483
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Ascension Wisconsin Pharmacy, Inc.
- Authorized official
- Tracy Rogers, Coo
Practice location
13133 N Port Washington Rd Ste G101
Mequon, WI 53097-2419
Phone: (262) 243-6700
Fax: (262) 243-6701
Mailing address
5000 W Chambers St Rm 115
Milwaukee, WI 53210-1650
Registry dates
- Enumerated
- 2019-01-09
- Last updated
- 2019-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.