Organization
AURORA HEALTH CARE METRO, INC.
Active
Other names
ASMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PANTEL (BILLING SUPERVISOR)
(920) 803-3266
Entity
Organization
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 219-7963
(414) 219-7964
Mailing address
PO BOX 208, SHEBOYGAN, WI 53082-0208
(920) 803-3263
(920) 459-2634
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
8900
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619901832
—
WI
01
—
5123334
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
08/04/2009
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