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Contact Information

AURORA PROFESSIONAL PHARMACY INC
124 S MADISON AVE
AURORA, MO65605-1427
 Phone: 417-678-4136
 Fax: 417-678-2014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AURORA PROFESSIONAL PHARMACY INC

NPI Number 1609865047
LBN Legal business name AURORA PROFESSIONAL PHARMACY INC
Authorized official STEPHEN MCCLANAHAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2005
Last updated 02/26/2025 - More than a year ago
Identifiers
MO License # 004661
MO Medicaid 600282800
Other 2047700 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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