Organization
AURORA PHARMACY INC
Active
Other names
AURORA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE THEDE (BILLING MANAGER)
(920) 806-3263
Entity
Organization
Contact information
Practice address
509 SUPERIOR AVE, SHEBOYGAN, WI 53081-2855
(920) 459-2637
(920) 459-2644
Mailing address
509 SUPERIOR AVE, SHEBOYGAN, WI 53081-2855
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7613
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33218100
—
WI
01
—
5109257
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
12/23/2010
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