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Organization
AURORA PHARMACY, INC.
Active
Organization
AURORA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PANTEL (BILLING SUPERVISOR)
(920) 803-3266
Entity
Organization
Contact information
Practice address
2819 N. LEXINGTON DRIVE, JANESVILLE, WI 53545
(608) 754-8382
(608) 754-7154
Mailing address
2819 N. LEXINGTON DRIVE, JANESVILLE, WI 53545
(608) 754-8382
(608) 754-7154
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8682
WI
3336C0003X
Community/Retail Pharmacy
8682
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33290400
—
WI
01
—
5129401
NCPDP
WI
Enumeration date
09/01/2006
Last updated
10/13/2009
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