NPI: 1790878122 · RACINE, WI 53403 · Pharmacy · NPI assigned 09/30/2006
| Authorized Official | CYR, KRISTOPHER (DIRECTOR) |
| NPI Enumeration Date | 09/30/2006 |
Other providers sharing the same authorized official: CYR, KRISTOPHER
| Provider | City | State | Total Paid |
|---|---|---|---|
| ASCENSION WISCONSIN PHARMACY, INC. | MILWAUKEE | WI | $5K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 230 | $2K |