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
1218 W KILBOURN AVE, MILWAUKEE, WI 53233-1330
(414) 219-7343
(414) 219-6391
Mailing address
1218 W KILBOURN AVE, MILWAUKEE, WI 53233-1330
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7740
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000086747
MEDICARE IMMUNIZATION
WI
05
—
33227800
—
WI
01
—
5124095
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
06/23/2010
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