Organization
AURORA PHARMACY INC
Active
Other names
AURORA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE THEDE (PATIENT FINANCIAL SRVS MGR)
(920) 803-3263
Entity
Organization
Contact information
Practice address
1645 N SPRING ST, BEAVER DAM, WI 53916-1194
(920) 887-3187
(920) 887-9383
Mailing address
PO BOX 208, SHEBOYGAN, WI 53082-0208
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8704
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33249200
—
WI
01
—
5125770
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
01/21/2008
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