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General NPI Number Information
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NPI Number | 1518624840
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Entity Type | Organization
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Legal Business Name | AURORA PHARMACY INC.
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 13250 WASHINGTON AVE STE 1A0043
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City | MOUNT PLEASANT
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State | WI
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Zip | 53177-1516
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Country | US
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Telephone | 262-799-8400
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Fax | 262-799-8401
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Provider Business Mailing Address
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Address Line | 13250 WASHINGTON AVE STE 1A0043
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City | MOUNT PLEASANT
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State | WI
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Zip | 53177-1516
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Country | US
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Telephone | 262-799-8400
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Fax | 262-799-8401
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Authorized Official
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Title or Position | VP MANAGED HEALTH
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Name | KARA RICHARDSON
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Credential |
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Telephone | 704-631-0450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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