Organization
AURORA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE THEDE (BILLING MANAGER)
(920) 803-3263
Entity
Organization
Contact information
Practice address
8615 W BELOIT RD, WEST ALLIS, WI 53227-3711
(414) 607-2165
(414) 607-4507
Mailing address
8615 W BELOIT RD, WEST ALLIS, WI 53227-3711
(414) 607-2165
(414) 607-4507
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8731
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33297700
—
WI
01
—
5129881
NCPDP
WI
Enumeration date
03/05/2007
Last updated
01/25/2008
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