| Organization Name: | AURORA PHARMACY INC |
| NPI Number: | 1336436559 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY R PANTEL (BILLING SUPERVISOR) |
| Mailing Address: | 2219 Garfield St Suite 100 Two Rivers |
| State: | WI US |
| Postal Code: | 542412416 |
| Phone Number: | 9207948029 |
| Fax Number: | 9207948070 |
| NPI Enumeration Date: | 07/08/2011 |
| NPI Last Update Date: | 03/22/2016 |
| 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. |