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Organization
AURORA PHARMACY INC
Active
Organization
AURORA PHARMACY INC
Active
Other names
AURORA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PANTEL (BILLING SUPERVISOR)
(920) 803-3266
Entity
Organization
Contact information
Practice address
8428 W SILVER SPRING DR, MILWAUKEE, WI 53225-2824
(414) 463-5600
(414) 463-7357
Mailing address
8428 W SILVER SPRING DR, MILWAUKEE, WI 53225-2824
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7961
WI
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33246300
—
WI
01
—
5125605
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
12/22/2010
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