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Organization
AURORA PHARMACY INC
Active
Organization
AURORA PHARMACY INC
Active
Other names
AURORA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE THEDE (PATIENT FINANCIAL SRVS MGR)
(920) 803-3263
Entity
Organization
Contact information
Practice address
1645 N SPRING ST, BEAVER DAM, WI 53916-1194
(920) 887-3187
(920) 887-9383
Mailing address
PO BOX 208, SHEBOYGAN, WI 53082-0208
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8704
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33249200
—
WI
01
—
5125770
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
01/21/2008
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