<Unavail>
LBN: Aurora Pharmacy Inc
<Unavail> is an health care organization with primary practice located at W320 S 1807B State Rd 83 , Wales WI 53183. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Aurora Pharmacy Inc can be contacted via phone (262) 968-9570, or through Thede, Joanne via phone (920) 803-3263.
Contact Information
Primary practice address
W320 S 1807B State Rd 83
Wales WI 53183
Phone: (262) 968-9570
Fax: (262) 968-9574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 7667 | Wisconsin |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1083649040 |
|---|---|
| LBN Legal business name | Aurora Pharmacy Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Thede, Joanne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jan 25th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083649040 | NPPES |
| Wisconsin | MEDICAID | 33221400 | |
| Wisconsin | Other | 5123586 |
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