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
12735 W CAPITOL DR, BROOKFIELD, WI 53005-2442
(262) 783-7302
(262) 783-7513
Mailing address
12735 W CAPITOL DR, BROOKFIELD, WI 53005-2442
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7499
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33209200
—
WI
01
—
5122596
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
01/25/2008
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