Organization
AURORA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PANTEL (BILLING SUPERVISOR)
(920) 803-3266
Entity
Organization
Contact information
Practice address
1475 W GRAND AVE STE 100, PORT WASHINGTON, WI 53074-2074
(262) 268-5160
(262) 268-5162
Mailing address
517 SUPERIOR AVE, SHEBOYGAN, WI 53081-2855
(920) 803-3266
(920) 459-2634
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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