# AURORA PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AURORA PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215961438
- **Authorized official:** JOANNE THEDE (BILLING MANAGER)
- **Authorized official phone:** (920) 803-3263

## Contact information

- **Practice address:** N65W24838 MAIN ST STE 400, SUSSEX, WI 53089-2653
- **Practice address phone:** (262) 246-6822
- **Practice address fax:** (262) 246-3810
- **Mailing address:** N65W24838 MAIN ST STE 400, SUSSEX, WI 53089-2653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 8071 | WI | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 01/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33255900 | — | WI |
| 01 | — | 5126380 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |