Organization
AURORA PHARMACY INC
Active
Other names
AURORA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 631-0450
Entity
Organization
Contact information
Practice address
1284 SUMMIT AVENUE, SUITE 100, OCONOMOWOC, WI 53066
(262) 569-8204
(262) 569-8215
Mailing address
1284 SUMMIT AVENUE, SUITE 100, OCONOMOWOC, WI 53066
(262) 569-8204
(262) 569-8215
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7649
WI
3336C0003X
Community/Retail Pharmacy
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33219500
—
WI
01
—
5123435
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
02/04/2025
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