Organization
AURORA PHARMACY, INC.
Active
Other names
Aurora Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARY R PANTEL (BILLING SUPERVISOR)
(920) 803-3266
Entity
Organization
Contact information
Practice address
975 PORT WASHINGTON ROAD, SUITE 100, GRAFTON, WI 53024-9201
(920) 803-3266
Mailing address
975 PORT WASHINGTON ROAD, SUITE 100, GRAFTON, WI 53024-9201
(920) 803-3266
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
9034-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952610693
—
WI
01
—
5132369
NCPDP
WI
Enumeration date
09/29/2010
Last updated
03/07/2011
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