Ascension Rx 1104 is not a DME supplier for medicare equipments and products.
Ascension Rx 1104 is a Community/Retail Pharmacy in Brookfield, Wisconsin. This pharmacy is owned and operated by Ascension Wisconsin Pharmacy, Inc.. It is located at 19333 W North Ave, Suite 390, Brookfield and it's customer support contact number is 262-780-4430. The authorized person of Ascension Rx 1104 is Jonathan W Sohn who is Cfo of the pharmacy and his contact number is 414-465-3090. Active license number of Ascension Rx 1104 is 846242 for Community/Retail Pharmacy in Wisconsin. Ascension Rx 1104 is 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 health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Ascension Rx 1104 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Ascension Rx 1104
Type:
Community/Retail Pharmacy
Location:
19333 W North Ave, Suite 390, Brookfield, Wisconsin, 53045-4132
Phone:
262-780-4430
Fax:
262-780-4440
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Jonathan W Sohn
Position:
Cfo
Contact Number:
414-465-3090
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1114994209
NPI Enumeration Date:
07 Mar, 2006
NPI Last Update On:
10 Aug, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ascension Rx 1104 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
846242
Wisconsin
Primary
Pharmacy
Secondary
Compounding Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2110236
Other
Pk
33280000
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 860011, Minneapolis, Minnesota
Zip:
55486-0011
Phone Number:
262-780-4430
Fax Number:
262-780-4440
Patients can reach Ascension Rx 1104 at 19333 W North Ave, Suite 390, Brookfield, Wisconsin or can call on customer care at 262-780-4430.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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