Aurora Pharmacy, Inc

LBN: Aurora Pharmacy, Inc
Aurora Pharmacy, Inc is an health care organization with primary practice located at 2707 15Th Place Suite 101, Kenosha WI 53140. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Aurora Pharmacy, Inc can be contacted via phone (262) 551-2790, or through Pantel, Mary R via phone (920) 803-3266.

Contact Information

Primary practice address
2707 15Th Place Suite 101 Kenosha WI 53140
Fax: (262) 553-9102
Website:
Authorized official contact:
Name: Pantel, Mary R

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 8808 Wisconsin

Profile Details

NPI number 1841468428
LBN Legal business name Aurora Pharmacy, Inc
DBA Doing business as
Authorized official Pantel, Mary R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2008
Last updated Mar 28th, 2008 - about 17 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 1841468428 NPPES
Wisconsin MEDICAID 36224500
Wisconsin Other 5130480

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