Aurora Prescription Dispensing Center

LBN: Aurora Pharmacy Inc
Aurora Prescription Dispensing Center is an health care organization with primary practice located at 7540 22Nd Ave , Kenosha WI 53143-5702. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Aurora Pharmacy Inc can be contacted via phone (262) 605-3674, or through Pantel, Mary via phone (920) 803-3266.

Contact Information

Primary practice address
7540 22Nd Ave Kenosha WI 53143-5702
Phone: (262) 605-3674
Fax: (262) 605-3802
Website:
Map and Directions
Authorized official contact:
Name: Pantel, Mary
Phone: (920) 803-3266

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 9395 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1114951332
LBN Legal business name Aurora Pharmacy Inc
DBA Doing business as Aurora Prescription Dispensing Center
Authorized official Pantel, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 5th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114951332 NPPES
Wisconsin MEDICAID 1366476582
Wisconsin Other 5126710

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