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Organization
AURORA PHARMACY INC
Active
Organization
AURORA PHARMACY INC
Active
Other names
Aurora Pharmacy #1360, Aurora Prescription Dispensing Center
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 631-0450
Entity
Organization
Contact information
Practice address
12500 AURORA DR STE 1000, PLEASANT PRAIRIE, WI 53158-1227
(262) 857-5900
(262) 857-5901
Mailing address
12500 AURORA DR STE 1000, PLEASANT PRAIRIE, WI 53158-1227
(262) 857-5900
(262) 857-5901
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
9395
WI
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100387913
—
WI
01
—
5135428
NCPDP
—
Enumeration date
08/29/2016
Last updated
12/02/2025
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