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Organization
KAUP PHARMACY INC
Active
Organization
KAUP PHARMACY INC
Active
Other names
Kaup Pharmacy Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ANDREWS (PRESIDENT)
(419) 375-2323
Entity
Organization
Contact information
Practice address
102 N WAYNE ST, FORT RECOVERY, OH 45846-8059
(419) 375-2323
(419) 375-4488
Mailing address
PO BOX 605, FORT RECOVERY, OH 45846-0605
(419) 375-2323
(419) 375-4488
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
020170400
OH
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
64000258A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439243
—
OH
05
—
100377670A
—
IN
01
—
2175835
PK
—
Enumeration date
03/06/2018
Last updated
09/04/2024
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