Organization · Type 2 NPI

Aurora Pharmacy Inc

Clinic Pharmacy · Walworth, WI

NPI number 1962436188 Active

Practice location

525 Kenosha St, Suite C
Walworth, WI 53184-9512

Call (262) 275-0936 Map

Fax (262) 275-0953

Mailing address

525 Kenosha St Ste C
Walworth, WI 53184-9512

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	9395 (WI)
Community/Retail Pharmacy	3336C0003X	None listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

6 other providers at this address

NPI record

NPI: 1962436188
Entity type: Organization (Type 2)
Issued: Jul 11, 2006
Last updated: Oct 1, 2025
Status: Active

Other names

<unavail>
Aurora Pharmacy #1174 · doing business as
Aurora Prescription Dispensing Center · doing business as

Authorized official

Mary Pantel
Revenue Cycle Analyst SR
(920) 803-3266

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962436188

Aurora Pharmacy Inc's National Provider Identifier is 1962436188, issued on Jul 11, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Walworth, WI. The record was last updated on Oct 1, 2025.