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Organization
AURORA PHARMACY INC
Active
Organization
AURORA PHARMACY INC
Active
Other names
Aurora Prescription Dispensing Center, Aurora Pharmacy #1174
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PANTEL (REVENUE CYCLE ANALYST SR)
(920) 803-3266
Entity
Organization
Contact information
Practice address
525 KENOSHA ST, SUITE C, WALWORTH, WI 53184-9512
(262) 275-0936
(262) 275-0953
Mailing address
525 KENOSHA ST STE C, WALWORTH, WI 53184-9512
(262) 275-0936
(262) 275-0953
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
—
33242100
—
WI
01
—
5125213
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
10/01/2025
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