Provider Demographics
NPI:1821566100
Name:AURORA DRUGS L.L.C.
Entity Type:Organization
Organization Name:AURORA DRUGS L.L.C.
Other - Org Name:AURORA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:LI
Authorized Official - Middle Name:
Authorized Official - Last Name:YIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-800-8858
Mailing Address - Street 1:1062 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91768-1422
Mailing Address - Country:US
Mailing Address - Phone:858-800-8858
Mailing Address - Fax:
Practice Address - Street 1:404 S PROSPECTORS RD STE C
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-1617
Practice Address - Country:US
Practice Address - Phone:626-716-4888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy