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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
MARY PANTEL (PATIENT FINANCIAL SERVICES SUPERVIS)
(920) 803-3266
Entity
Organization
Contact information
Practice address
6462 S. 27TH ST., OAK CREEK, WI 53154-1015
(414) 761-1550
(414) 761-1682
Mailing address
6462 S. 27TH ST., OAK CREEK, WI 53154-1015
(414) 761-1550
(414) 761-1682
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8321
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000086747
MEDICARE IMMUNIZATION
WI
05
—
33209000
—
WI
01
—
5122572
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
09/21/2009
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