MEDICARE: AURORA PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	7729	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5124019	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1245264464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA PHARMACY INC

Provider Business Mailing Address
First Line	:	W194N16714 EAGLE DR
Second Line	:
City	:	JACKSON
State	:	WI
Zip	:	53037-9797
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	W194N16714 EAGLE DR
Second Line	:
City	:	JACKSON
State	:	WI
Zip	:	53037-9797
Country	:	US
Telephone Number	:	262-677-2424
Fax Number	:	262-677-0499

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	JOANNE THEDE
Credential	:
Telephone Number	:	920-803-3263

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	01/21/2008

Similar Medicare Providers

1164401204 — PAULET J. VOIGT D.P.M.
Practice Location Address:

W194N16747 EAGLE DR , STE L
JACKSON, WI
53037-9797

Practice Phone: 262-677-1520
Practice Fax: 262-677-1521

1598881336 — JACKSON VISION CENTER, LLC
Practice Location Address:

W194N16747 EAGLE DR , SUITE N
JACKSON, WI
53037-9797

Practice Phone: 262-677-4313
Practice Fax: 262-677-4396

1417810078 — KINETEC USA INC
Practice Location Address:

N174W21475 ALCAN DR
JACKSON, WI
53037-8611

Practice Phone: 262-677-1248
Practice Fax: 262-677-1314

1699752907 — DR. ZHALEH BARARI OD
Practice Location Address:

W194 N 16747 EAGLE DR. , SUITE N
JACKSON, WI
53037

Practice Phone: 262-677-4313
Practice Fax: 262-677-4396

1881653137 — MRS. JANE A DIXON LPN
Practice Location Address:

W208N16593 S CENTER ST , APT 3
JACKSON, WI
53037-9652

Practice Phone: 262-677-4318
Practice Fax:

1578511739 — CAROL LYNN RADOVICH NP
Practice Location Address:

W197N17054 STONEWALL DR
JACKSON, WI
53037

Practice Phone: 847-922-9203
Practice Fax:

Directions to “AURORA PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.