Aurora Pharmacy

LBN: Aurora Pharmacy Inc
Aurora Pharmacy is an health care organization with primary practice located at 624 Main St , Montello WI 53949-9719. 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 (608) 297-2499, or through Soerens, Vicki via phone (920) 803-3260.

Contact Information

Primary practice address
624 Main St Montello WI 53949-9719
Phone: (608) 297-2499
Fax: (608) 297-2486
Website:
Map and Directions
Authorized official contact:
Name: Soerens, Vicki
Phone: (920) 803-3260

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 8269 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1104850320
LBN Legal business name Aurora Pharmacy Inc
DBA Doing business as Aurora Pharmacy
Authorized official Soerens, Vicki
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1104850320 NPPES
Wisconsin MEDICAID 33266600
Wisconsin Other 5127205

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