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	333600000X	Pharmacy	8725	WI

General Provider Information

NPI Number	:	1760519565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA PHARMACY, INC.

Provider Business Mailing Address
First Line	:	7901 W LAYTON AVE
Second Line	:
City	:	GREENFIELD
State	:	WI
Zip	:	53220-3710
Country	:	US
Telephone Number	:	414-282-9666
Fax Number	:	414-817-8149

Provider Business Practice Location Address
First Line	:	7901 W LAYTON AVE
Second Line	:
City	:	GREENFIELD
State	:	WI
Zip	:	53220-3710
Country	:	US
Telephone Number	:	414-282-9666
Fax Number	:	414-817-8149

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	VICKI L SOERENS
Credential	:
Telephone Number	:	920-803-3260

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

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