Organization
AURORA PHARMACY INC
Active
Other names
Aurora Prescription Dispensing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE THEDE (BILLING MANAGER)
(920) 803-3263
Entity
Organization
Contact information
Practice address
1001 SERVICE RD, SUITE 101, KIEL, WI 53042-1295
(920) 894-4370
(920) 894-7988
Mailing address
1001 SERVICE RD, SUITE 101, KIEL, WI 53042-1295
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
—
1699709816
—
WI
01
—
5124300
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
07/08/2019
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