Aurora Pharmacy Inc
Organization Active NPI Pharmacy · Brookfield, WI
NPI 1184658304 · NPPES record last updated Jan 25, 2008
Key facts
- NPI
- 1184658304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 7499 (WI)
- Legal business name
- AURORA PHARMACY INC
- Practice address
- 12735 W Capitol Dr
Brookfield, WI 53005-2442 - Phone
- (262) 783-7302
- Fax
- (262) 783-7513
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Joanne Thede
- Title
- Billing Manager
- Phone
- (920) 803-3263
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Aurora Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 7499 | WI | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
12735 W Capitol Dr
Brookfield, WI 53005-2442
Mailing address
12735 W Capitol Dr
Brookfield, WI 53005-2442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33209200 | Medicaid | WI | |
| 5122596 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- AURORA PHARMACY
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.