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Organization
AURORA PHARMACY INC
Active
Organization
AURORA PHARMACY INC
Active
Other names
Aurora Pharmacy #1250, Aurora Prescription Dispensing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY R PANTEL (REVENUE CYCLE ANALYST SR.)
(920) 803-3266
Entity
Organization
Contact information
Practice address
2219 GARFIELD ST, SUITE 100, TWO RIVERS, WI 54241-2416
(920) 794-8029
(920) 794-8070
Mailing address
2219 GARFIELD ST STE 100, TWO RIVERS, WI 54241-2416
(920) 794-8029
(920) 794-8070
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
9395
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100387134
—
WI
01
—
5132698
NCPDP
WI
Enumeration date
07/08/2011
Last updated
12/02/2025
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