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
2600 KILEY WAY STE 100, PLYMOUTH, WI 53073-5020
(920) 893-1442
(920) 893-9880
Mailing address
2600 KILEY WAY STE 100, PLYMOUTH, WI 53073-5020
(920) 893-1442
(920) 893-9880
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
7685
WI
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33224300
—
WI
01
—
5123776
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
05/27/2020
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