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
5740 WASHINGTON AVE, RACINE, WI 53406-4018
(262) 619-1162
(262) 619-1196
Mailing address
5740 WASHINGTON AVE, RACINE, WI 53406-4018
(262) 619-1162
(262) 619-1196
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8724
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33297400
—
WI
01
—
5129867
NCPDP
WI
Enumeration date
02/22/2007
Last updated
01/25/2008
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