Aurora Pharmacy

LBN: Aurora Pharmacy Inc
Aurora Pharmacy is an health care organization with primary practice located at 12203 Corporate Pkwy Ste 100 , Mequon WI 53092-3388. 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 (262) 387-8555, or through Pantel, Mary R via phone (920) 803-3266.

Contact Information

Primary practice address
12203 Corporate Pkwy Ste 100 Mequon WI 53092-3388
Phone: (262) 387-8555
Fax: (262) 387-8556
Website:
Map and Directions
Authorized official contact:
Name: Pantel, Mary R
Phone: (920) 803-3266

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 9016 Wisconsin
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1972537199
LBN Legal business name Aurora Pharmacy Inc
DBA Doing business as Aurora Pharmacy
Authorized official Pantel, Mary R
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Sep 27th, 2020 - about 5 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 1972537199 NPPES
Other 5124223 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 33229200 OTHER ID NUMBER-COMMERCIAL NUMBER

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