Organization
AURORA PHARMACY INC
Active
Other names
AURORA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PANTEL (BILLING SUPERVISOR)
(920) 803-3266
Entity
Organization
Contact information
Practice address
304 DELAFIELD ST, SUITE 100, WAUKESHA, WI 53188-3641
(262) 542-8006
(262) 542-5095
Mailing address
304 DELAFIELD ST, SUITE 100, WAUKESHA, WI 53188-3641
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7893
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33240800
—
WI
01
—
5125198
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
06/24/2010
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