Organization
AURORA PHARMACY INC
Active
Other names
AURORA PRESCRIPTION DISPENSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE THEDE (BILLING MANAGER)
(920) 803-3263
Entity
Organization
Contact information
Practice address
180 W GRANGE AVE, MILWAUKEE, WI 53207-6030
(414) 744-4302
(414) 489-0126
Mailing address
180 W GRANGE AVE, MILWAUKEE, WI 53207-6030
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
9395
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487095287
—
WI
01
—
5125922
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
03/18/2016
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