Aurora Pharmacy

LBN: Aurora Pharmacy Inc
Aurora Pharmacy is an health care organization with primary practice located at 210 Wisconsin American Dr Suite 240, Fond Du Lac WI 54937-2999. 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) 907-7260, or through Pantel, Mary via phone (920) 803-3266.

Contact Information

Primary practice address
210 Wisconsin American Dr Suite 240 Fond Du Lac WI 54937-2999
Phone: (920) 907-7260
Fax: (920) 907-7262
Website:
Map and Directions
Authorized official contact:
Name: Pantel, Mary
Phone: (920) 803-3266

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 7707 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1518991736
LBN Legal business name Aurora Pharmacy Inc
DBA Doing business as Aurora Pharmacy
Authorized official Pantel, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Sep 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518991736 NPPES
Wisconsin MEDICAID 33225100
Wisconsin Other 5123889

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