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Organization
AURORA PHARMACY INC
Active
Organization
AURORA PHARMACY INC
Active
Other names
Aurora Prescription Dispensing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE THEDE (BILLING MANAGER)
(920) 803-3263
Entity
Organization
Contact information
Practice address
1001 SERVICE RD, SUITE 101, KIEL, WI 53042-1295
(920) 894-4370
(920) 894-7988
Mailing address
1001 SERVICE RD, SUITE 101, KIEL, WI 53042-1295
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
9395
WI
3336C0003X
Community/Retail Pharmacy
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699709816
—
WI
01
—
5124300
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
07/08/2019
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