Organization Name: | AURORA PHARMACY INC. |
NPI Number: | 1255683462 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY R PANTEL (BILLING SUPERVISOR) |
Mailing Address: | S68w15500 Janesville Rd Suite 100 Muskego |
State: | WI US |
Postal Code: | 531502613 |
Phone Number: | 4144224257 |
Fax Number: | 4144224258 |
NPI Enumeration Date: | 10/11/2012 |
NPI Last Update Date: | 03/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | 9395 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |