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NPI Code Detail

MEDICARE: AURORA PHARMACY, INC.

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
13336C0003XCommunity/Retail Pharmacy8569WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15129196OTHERWINCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538107842
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA PHARMACY, INC.
Provider Business Mailing Address
First Line : 1640 E SUMNER ST
Second Line : SUITE 100
City : HARTFORD
State : WI
Zip : 53027-2684
Country : US
Telephone Number : 262-670-4210
Fax Number : 262-670-4211
Provider Business Practice Location Address
First Line : 1640 E SUMNER ST
Second Line : SUITE 100
City : HARTFORD
State : WI
Zip : 53027-2684
Country : US
Telephone Number : 262-670-4210
Fax Number : 262-670-4211
Authorized Official
Title or Position : VP MANAGED HEALTH
Name : KARA RICHARDSON
Credential :
Telephone Number : 704-631-0450
Provider Enumeration Date : 06/02/2006
Last Update Date : 01/30/2025

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Directions to “AURORA PHARMACY, INC. ” Practice Location

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