Organization
AURORA PHARMACY INC.
Active
Other names
Aurora Presciption Dispensing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PANTEL (BILLING SUPERVISOR)
(920) 803-3266
Entity
Organization
Contact information
Practice address
2707 15TH PL, SUITE 101, KENOSHA, WI 53140-4947
(414) 529-9134
Mailing address
2707 15TH PL, SUITE 101, KENOSHA, WI 53140-4947
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
9395
WI
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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