Organization
AURORA PHARMACY INC
Active
Other names
Aurora Pharmacy 1760
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 631-0450
Entity
Organization
Contact information
Practice address
200 E RYAN RD STE 101, OAK CREEK, WI 53154-4563
(414) 570-3580
(414) 570-3581
Mailing address
PO BOX 208, SHEBOYGAN, WI 53082-0208
(920) 803-3266
(920) 459-2634
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
9395
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100310646
—
WI
01
—
5135985
NCPDP
—
Enumeration date
08/01/2017
Last updated
05/29/2025
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