Organization
AURORA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY R PANTEL (PATIENT FINANCIAL SERVICES SUPERVIS)
(920) 803-3266
Entity
Organization
Contact information
Practice address
3003 W GOOD HOPE RD, SUITE 1129, MILWAUKEE, WI 53209-2042
(414) 540-9236
(414) 540-9347
Mailing address
3003 W GOOD HOPE RD, SUITE 1129, MILWAUKEE, WI 53209-2042
(414) 540-9236
(414) 540-9347
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8814
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36225600
—
WI
01
—
5130581
NCPDP
—
Enumeration date
03/21/2008
Last updated
05/27/2008
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