Organization
AURORA PHARMACY INC
Active
Other names
Aurora Prescription Dispensing Center, Aurora Pharmacy #1312
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 631-0450
Entity
Organization
Contact information
Practice address
1500 ARBOR WAY, SUITE 100, KAUKAUNA, WI 54130
(920) 759-3050
(920) 759-3010
Mailing address
1500 ARBOR WAY STE 100, KAUKAUNA, WI 54130-7305
(920) 759-3050
(920) 759-3010
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
9395
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100387540
—
WI
01
—
5127673
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
12/03/2025
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