Organization
AURORA PROFESSIONAL PHARMACY INC
Active
Other names
AURORA PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L MCCLANAHAN (OWNER)
(417) 735-0055
Entity
Organization
Contact information
Practice address
124 S MADISON AVE, AURORA, MO 65605-1427
(417) 678-4136
(417) 678-2014
Mailing address
124 S MADISON AVE, AURORA, MO 65605-1427
(417) 678-4136
(417) 678-2014
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004661
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047700
PK
—
05
—
600282800
—
MO
Enumeration date
10/18/2005
Last updated
02/26/2025
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