National Provider Identifier Database

AURORA PHARMACY INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

AURORA PHARMACY INC
2600 KILEY WAY STE 100
PLYMOUTH, WI53073-5020
Phone: 920-893-1442
Fax: 920-893-9880
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for AURORA PHARMACY INC

NPI Number 1255366225
Legal business name
LBN
AURORA PHARMACY INC
Authorized official MARY PANTEL - (BILLING SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 07/11/2006
Last updated 05/27/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 7685
  • WI Medicaid: 33224300
  • Other: 5123776 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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