Healthcare Provider Details

I. General information

NPI: 1447521927
Provider Name (Legal Business Name): AURORA PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2012
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 N MAYFAIR RD SUITE 100
MILWAUKEE WI
53226-3436
US

IV. Provider business mailing address

1055 N MAYFAIR RD SUITE 100
MILWAUKEE WI
53226-3436
US

V. Phone/Fax

Practice location:
  • Phone: 414-479-2500
  • Fax: 414-479-2505
Mailing address:
  • Phone: 414-479-2500
  • Fax: 414-479-2505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number9408
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number9395
License Number StateWI

VIII. Authorized Official

Name: KARA RICHARDSON
Title or Position: VP MANAGED HEALTH
Credential:
Phone: 704-631-0450