# AURORA PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aurora Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952610693
- **Authorized official:** MARY R PANTEL (BILLING SUPERVISOR)
- **Authorized official phone:** (920) 803-3266

## Contact information

- **Practice address:** 975 PORT WASHINGTON ROAD, SUITE 100, GRAFTON, WI 53024-9201
- **Practice address phone:** (920) 803-3266
- **Mailing address:** 975 PORT WASHINGTON ROAD, SUITE 100, GRAFTON, WI 53024-9201
- **Mailing address phone:** (920) 803-3266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 9034-042 | WI | Yes |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 03/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1952610693 | — | WI |
| 01 | — | 5132369 | NCPDP | WI |