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Aurora Pharmacy, Inc

Organization Active NPI Pharmacy · Plymouth, WI

NPI 1801009980 · NPPES record last updated Jan 23, 2008

Key facts

NPI
1801009980
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
8741 (WI)
Legal business name
AURORA PHARMACY, INC
Practice address
2600 Kiley Way
Plymouth, WI 53073
Phone
(920) 449-7090
Fax
(920) 449-7091
NPI assigned
May 7, 2007
Organization subpart
No

Authorized official

Name
Joanne A Thede
Title
Billing Manager
Phone
(920) 803-3263

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Aurora Pharmacy (112 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 8741 WI Yes

Addresses

Primary practice location

2600 Kiley Way
Plymouth, WI 53073

Mailing address

2600 Kiley Way
Plymouth, WI 53073
Phone (920) 449-7090

Other identifiers

IdentifierTypeStateIssuer
5129932OtherWINCPDP
33298400MedicaidWI

Other names

  • Aurora Pharmacy Doing business as

Other providers in Plymouth, WI

All providers in Plymouth, WI · Pharmacy in Wisconsin

Sources for this page

Verify at the official NPI Registry.