Aurora Pharmacy Inc
Organization Active NPI Pharmacy · West Allis, WI
NPI 1467477190 · NPPES record last updated Jan 21, 2008
Key facts
- NPI
- 1467477190
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 7825 (WI)
- Legal business name
- AURORA PHARMACY INC
- Practice address
- 2625 S 108TH St
West Allis, WI 53227-1925 - Phone
- (414) 328-4051
- Fax
- (414) 328-4206
- NPI assigned
- Jul 13, 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 | 7825 | WI | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
2625 S 108TH St
West Allis, WI 53227-1925
Mailing address
2625 S 108TH St
West Allis, WI 53227-1925
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5124766 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 33235400 | Medicaid | WI |
Other names
- AURORA PHARMACY
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 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.