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
2919 S 12TH ST, SHEBOYGAN, WI 53081-6705
(920) 459-2627
(920) 459-2649
Mailing address
2919 S 12TH ST, SHEBOYGAN, WI 53081-6705
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7605
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33218000
—
WI
01
—
5109310
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
10/13/2009
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