Organization
AURORA PHARMACY INC
Active
Other names
AURORA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PANTEL (PATIENT FINANCIAL SERVICES SUPERVIS)
(920) 803-3266
Entity
Organization
Contact information
Practice address
6462 S. 27TH ST., OAK CREEK, WI 53154-1015
(414) 761-1550
(414) 761-1682
Mailing address
6462 S. 27TH ST., OAK CREEK, WI 53154-1015
(414) 761-1550
(414) 761-1682
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8321
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000086747
MEDICARE IMMUNIZATION
WI
05
—
33209000
—
WI
01
—
5122572
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
09/21/2009
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