<Unavail>

LBN: Aurora Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 2600 Kiley Way Ste 100 , Plymouth WI 53073-5020. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Aurora Pharmacy Inc can be contacted via phone (920) 893-1442, or through Pantel, Mary via phone (920) 803-3266.

Contact Information

Primary practice address
2600 Kiley Way Ste 100 Plymouth WI 53073-5020
Phone: (920) 893-1442
Fax: (920) 893-9880
Website:
Map and Directions
Authorized official contact:
Name: Pantel, Mary
Phone: (920) 803-3266

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 7685 Wisconsin
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1255366225
LBN Legal business name Aurora Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Pantel, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated May 27th, 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 1255366225 NPPES
Wisconsin MEDICAID 33224300
Wisconsin Other 5123776

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