Organization
AURORA PHARMACY, INC.
Active
Other names
Aurora Pharmacy #1068, Aurora Prescription Dispensing Center
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 631-0450
Entity
Organization
Contact information
Practice address
818 FORREST DR, SUITE 101, WATERFORD, WI 53185-4577
(262) 514-8050
(262) 514-8151
Mailing address
818 FOREST LN STE 101, WATERFORD, WI 53185-4585
(262) 514-8050
(262) 514-8151
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
9395
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000086609
MEDICARE IMMUNIZATION
WI
05
—
1861426082
—
WI
05
—
33288200
—
WI
01
—
5129184
NCPDP
—
Enumeration date
05/25/2006
Last updated
02/05/2026
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