Organization
AURORA PHARMACY INC
Active
Other names
AURORA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 631-0450
Entity
Organization
Contact information
Practice address
1881 CHICAGO ST, DE PERE, WI 54115-3770
(920) 403-8050
(920) 403-8206
Mailing address
1881 CHICAGO ST, DE PERE, WI 54115-3770
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7652
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33220200
—
WI
01
—
5123497
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
01/30/2025
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