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
470 GRAND VIEW AVENUE, SUITE 1, CAMPBELLSPORT, WI 53010
(920) 533-3970
(920) 533-3971
Mailing address
470 GRAND VIEW AVENUE, SUITE 1, CAMPBELLSPORT, WI 53010
(920) 533-3970
(920) 533-3971
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
8697
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33294100
—
WI
01
—
5129615
NCPDP
WI
Enumeration date
12/05/2006
Last updated
01/23/2008
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