Organization
AURORA PHARMACY, INC.
Active
Other names
Aurora Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE THEDE (BILLING MANAGER)
(920) 803-3263
Entity
Organization
Contact information
Practice address
4061 N 54TH ST, MILWAUKEE, WI 53216-1377
(414) 871-3160
(414) 871-3657
Mailing address
4061 N 54TH ST, MILWAUKEE, WI 53216-1377
(414) 871-3160
(414) 871-3657
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8723
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33297100
—
WI
01
—
5129829
NCPDP
WI
Enumeration date
02/22/2007
Last updated
01/25/2008
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