Aurora Pharmacy

LBN: Aurora Pharmacy Inc
Aurora Pharmacy is an health care organization with primary practice located at 1881 Chicago St , De Pere WI 54115-3770. 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 (920) 403-8050, or through Thede, Joanne via phone (920) 803-3263.

Contact Information

Primary practice address
1881 Chicago St De Pere WI 54115-3770
Phone: (920) 403-8050
Fax: (920) 403-8206
Website:
Map and Directions
Authorized official contact:
Name: Thede, Joanne
Phone: (920) 803-3263

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 7652 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1255365474
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 Jul 11th, 2006
Last updated Jan 24th, 2008 - about 16 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 1255365474 NPPES
Other 5123497 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 33220200 OTHER ID NUMBER-COMMERCIAL NUMBER

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