Aurora Pharmacy

LBN: Aurora Pharmacy Inc
Aurora Pharmacy is an health care organization with primary practice located at 1900 Main St , Green Bay WI 54302-3921. 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) 468-6221, or through Thede, Joanne via phone (920) 803-3263.

Contact Information

Primary practice address
1900 Main St Green Bay WI 54302-3921
Phone: (920) 468-6221
Fax: (920) 468-0805
Website:
Map and Directions
Authorized official contact:
Name: Thede, Joanne
Phone: (920) 803-3263

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 8827 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1760416986
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 Apr 17th, 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 1760416986 NPPES
Wisconsin MEDICAID 33256600
Wisconsin Other 5126481

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