# AURORA PHARMACY INC

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

## Provider details

- **NPI number:** 1538193750
- **Authorized official:** KARA RICHARDSON (VP MANAGED HEALTH)
- **Authorized official phone:** (704) 631-0450

## Contact information

- **Practice address:** 8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
- **Practice address phone:** (262) 884-4030
- **Mailing address:** 8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 7560 | WI | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 01/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000086609 | MEDICARE IMMUNIZATION | WI |
| 05 | — | 33212700 | — | WI |
| 01 | — | 5122863 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |