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AURORA PHARMACY
RRC520198-00 AURORA MEDICAL CENTER OF OSHKOSH
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Covered Entity Details
Entity Name
AURORA MEDICAL CENTER OF OSHKOSH
Subdivision Name
Type
Rural Referral Center
340B ID
RRC520198-00
Entity Address
855 N. WESTHAVEN DRIVE
OSHKOSH, WI 54904
Medicare Provider Number
520198
Participating Start Date
7/1/2021
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
AURORA PHARMACY
Pharmacy Address
855 N WESTHAVEN DR
AURORA PHARMACY, INC.
OSHKOSH, WI 54904-7668
Pharmacy Comments
Contract Details
Approval Date
7/7/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nan Nelson, SVP-Finance
(414) 378-4765
Contract Pharmacy Representative
Advocate Aurora Health Care
Angela De Ianni, Vice President Pharmacy Supply Chain
(414) 630-1541
Signed By Date
7/7/2021
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