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Organization

AURORA PHARMACY INC.

Active
Other names
Aurora Prescription Dispensing Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARY PANTEL (BILLING SUPERVISOR)
(920) 803-3266
Entity
Organization

Contact information

Practice address
16985 W BLUEMOUND RD, SUITE 100, BROOKFIELD, WI 53005-5946
(262) 641-7665
(262) 784-3977
Mailing address
16985 W BLUEMOUND RD, SUITE 100, BROOKFIELD, WI 53005-5946
(262) 641-7665
(262) 784-3977

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
9395
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487095287
WI
Enumeration date
03/11/2014
Last updated
03/22/2016
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