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
1138 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3653
(414) 389-1196
(414) 389-1304
Mailing address
1138 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3653
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8303
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33268400
—
WI
01
—
5127370
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
01/21/2008
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