Aurora Pharmacy Inc
Organization Active NPI Pharmacy · Nekoosa, WI
NPI 1740214964 · NPPES record last updated Jan 25, 2008
Key facts
- NPI
- 1740214964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 8361 (WI)
- Legal business name
- AURORA PHARMACY INC
- Practice address
- 232 Market St
Nekoosa, WI 54457-1122 - Phone
- (715) 886-3170
- Fax
- (715) 886-5034
- 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 | 8361 | WI | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
232 Market St
Nekoosa, WI 54457-1122
Mailing address
232 Market St
Nekoosa, WI 54457-1122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5127659 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 33272000 | Medicaid | WI |
Other names
- AURORA PHARMACY
Other providers in Nekoosa, 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.