Organization
AURORA PHARMACY, INC
Active
Other names
Aurora Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE A THEDE (BILLING MANAGER)
(920) 803-3263
Entity
Organization
Contact information
Practice address
2600 KILEY WAY, PLYMOUTH, WI 53073
(920) 449-7090
(920) 449-7091
Mailing address
2600 KILEY WAY, PLYMOUTH, WI 53073
(920) 449-7090
(920) 449-7091
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8741
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33298400
—
WI
01
—
5129932
NCPDP
WI
Enumeration date
05/07/2007
Last updated
01/23/2008
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