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Organization
AURORA PHARMACY INC
Active
Organization
AURORA PHARMACY INC
Active
Other names
Aurora Pharmacy #1230, Aurora Prescription Dispensing Center
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 792-5987
Entity
Organization
Contact information
Practice address
620 S WISCONSIN DR, HOWARDS GROVE, WI 53083-1263
(920) 565-5425
(920) 565-4477
Mailing address
620 S WISCONSIN DR, HOWARDS GROVE, WI 53083-1263
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
9395
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427073154
—
WI
05
—
33271000
—
WI
01
—
5127584
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
03/03/2026
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