AURORA PHARMACY INC NPI 1114951332

NPI Information

NPI: 1114951332
Provider Name: AURORA PHARMACY INC

Doing Business As: AURORA PRESCRIPTION DISPENSING CENTER

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
7540 22ND AVE
KENOSHA, WI
ZIP 53143
Phone: (262) 605-3674
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AURORA PHARMACY INC is a clinic pharmacy pharmacy in Kenosha, WI. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. AURORA PHARMACY INC NPI is 1114951332. The provider is registered as an organization entity type.
The provider Is Doing Business As Aurora Prescription Dispensing Center.

The provider's business location address is:

7540 22ND AVE
KENOSHA, WI
ZIP 53143-702
Phone: (262) 605-3674
Fax: (262) 605-3802

The provider's authorized official is Mary Pantel .
The authorized official title is Billing Supervisor and has the following contact phone number (920) 803-3266.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 10/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
2	3336C0002X	Pharmacy	Clinic Pharmacy	9395	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1366476582	MEDICAID	WISCONSIN
2	5126710	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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