Organization
AURORA PHARMACY INC
Active
Other names
Aurora Prescription Dispensing Center, Aurora Pharmacy #1179
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 631-0450
Entity
Organization
Contact information
Practice address
7540 22ND AVE, KENOSHA, WI 53143-5702
(262) 605-3674
(262) 605-3802
Mailing address
7540 22ND AVE, KENOSHA, WI 53143-5702
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
—
1366476582
—
WI
05
—
33258300
—
WI
01
—
5126710
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
03/11/2026
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