Provider Demographics
NPI:1437424603
Name:ASCHENBRENNER, EMILIE JOANNE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:EMILIE
Middle Name:JOANNE
Last Name:ASCHENBRENNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N65W27505 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-3387
Mailing Address - Country:US
Mailing Address - Phone:262-443-0131
Mailing Address - Fax:
Practice Address - Street 1:N65W27505 MAPLE ST
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:WI
Practice Address - Zip Code:53089-3387
Practice Address - Country:US
Practice Address - Phone:262-443-0131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14945-401835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology