Organization
AURORA PHARMACY, INC.
Active
Other names
Aurora Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE THEDE (BILLING MANAGER)
(920) 803-3263
Entity
Organization
Contact information
Practice address
123 W OKLAHOMA AVE, MILWAUKEE, WI 53207-2640
(414) 482-2406
(414) 482-2904
Mailing address
123 W OKLAHOMA AVE, MILWAUKEE, WI 53207-2640
(414) 482-2406
(414) 482-2904
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8727
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33297200
—
WI
01
—
5129843
NCPDP
WI
Enumeration date
02/22/2007
Last updated
01/25/2008
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