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
2414 10TH AVE, SUITE100, SOUTH MILWAUKEE, WI 53172-2507
(414) 479-2500
(414) 764-4851
Mailing address
2414 10TH AVE, SUITE100, SOUTH MILWAUKEE, WI 53172-2507
(414) 479-2500
(414) 764-4851
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
9107
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33258100
—
WI
01
—
5126594
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
01/20/2012
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