Aurora Pharmacy

LBN: Aurora Pharmacy Inc
Aurora Pharmacy is an health care organization with primary practice located at 927 Fond Du Lac Ave , Kewaskum WI 53040-9161. 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 (262) 626-4222, or through Pantel, Mary R via phone (920) 803-3266.

Contact Information

Primary practice address
927 Fond Du Lac Ave Kewaskum WI 53040-9161
Phone: (262) 626-4222
Fax: (262) 626-2109
Website:
Map and Directions
Authorized official contact:
Name: Pantel, Mary R
Phone: (920) 803-3266

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 7731 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1154355378
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 Dec 22nd, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154355378 NPPES
Wisconsin MEDICAID 33227600
Wisconsin Other 5124045

Popular Providers