OrganizationActive
Ascension Wisconsin Pharmacy, Inc
NPI 1306042411 · Community/Retail Pharmacy · Mequon, WI
Provider details
- NPI number
- 1306042411
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Ascension Wisconsin Pharmacy, Inc
- Organization subpart
- Yes
- Authorized official
- Kristopher Cyr, Director(262) 687-2151
Specialties & taxonomies
Suppliers
Practice location
13133 N Port Washington Rd
Suite G01
Mequon, WI 53097-2419
Phone: (262) 243-6700
Fax: (262) 243-6701
Approximate (ZIP-level) locationGet directions
Mailing address
5000 W Chambers St Rm 5223
Milwaukee, WI 53210-1650
Other names (DBA / former)
- Doing business as
- Ascension Rx 1109
Registry dates
- Enumerated
- 2007-06-25
- 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.