Aurora Pharmacy

LBN: Aurora Pharmacy Inc
Aurora Pharmacy is an health care organization with primary practice located at 6609 W Greenfield Avenue , West Allis WI 53214. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Aurora Pharmacy Inc can be contacted via phone (414) 771-1350, or through Pantel, Mary via phone (920) 803-3266.

Contact Information

Primary practice address
6609 W Greenfield Avenue West Allis WI 53214
Fax: (414) 771-2375
Website:
Authorized official contact:
Name: Pantel, Mary

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1578588208
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 13th, 2006
Last updated Dec 26th, 2018 - about 6 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 1578588208 NPPES
Wisconsin MEDICAID 33232600
Wisconsin Other 5124564

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