NPI: 1952610693 · GRAFTON, WI 53024 · Pharmacy · NPI assigned 09/29/2010
| Authorized Official | PANTEL, MARY (BILLING SUPERVISOR) |
| NPI Enumeration Date | 09/29/2010 |
Other providers sharing the same authorized official: PANTEL, MARY
| Provider | City | State | Total Paid |
|---|---|---|---|
| AURORA PHARMACY, INC. | MILWAUKEE | WI | $12K |
| AURORA HEALTH CARE METRO, INC. | MILWAUKEE | WI | $1K |
| AURORA PHARMACY, INC. | MENOMONEE FALLS | WI | $410.20 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 14 | $396.15 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90686 | 14 | 14 | $396.15 |