Aurora Pharmacy

LBN: Aurora Pharmacy, Inc.
Aurora Pharmacy is an health care organization with primary practice located at 470 Grand View Avenue Suite 1, Campbellsport WI 53010. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Aurora Pharmacy, Inc. can be contacted via phone (920) 533-3970, or through Thede, Joanne via phone (920) 803-3263.

Contact Information

Primary practice address
470 Grand View Avenue Suite 1 Campbellsport WI 53010
Phone: (920) 533-3970
Fax: (920) 533-3971
Website:
Map and Directions
Authorized official contact:
Name: Thede, Joanne
Phone: (920) 803-3263

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 8697 Wisconsin

Profile Details

NPI number 1639237019
LBN Legal business name Aurora Pharmacy, Inc.
DBA Doing business as Aurora Pharmacy
Authorized official Thede, Joanne
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Jan 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639237019 NPPES
Wisconsin MEDICAID 33294100
Wisconsin Other 5129615

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