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
204 E MAIN ST, WATERTOWN, WI 53094-3748
(920) 261-1776
(920) 261-7466
Mailing address
204 E MAIN ST, WATERTOWN, WI 53094-3748
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7867
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33239600
—
WI
01
—
5124956
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
12/22/2010
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