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Contact Information

AURORA PHARMACY, INC.
2819 N. LEXINGTON DRIVE
JANESVILLE, WI53545
 Phone: 608-754-8382
 Fax: 608-754-7154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AURORA PHARMACY, INC.

NPI Number 1659473767
LBN Legal business name AURORA PHARMACY, INC.
Authorized official MARY PANTEL - (BILLING SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2006
Last updated 10/13/2009 - About 17 years ago
Identifiers
WI License # 8682
WI Medicaid 33290400
WI Other 5129401 NCPDP
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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