# KAUP PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaup Pharmacy Long Term Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609378611
- **Authorized official:** JASON ANDREWS (PRESIDENT)
- **Authorized official phone:** (419) 375-2323

## Contact information

- **Practice address:** 102 N WAYNE ST, FORT RECOVERY, OH 45846-8059
- **Practice address phone:** (419) 375-2323
- **Practice address fax:** (419) 375-4488
- **Mailing address:** PO BOX 605, FORT RECOVERY, OH 45846-0605
- **Mailing address phone:** (419) 375-2323
- **Mailing address fax:** (419) 375-4488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 64000258A | IN | Yes |

## Other

- **Enumeration date:** 03/06/2018
- **Last updated:** 09/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0439243 | — | OH |
| 05 | — | 100377670A | — | IN |
| 01 | — | 2175835 | PK | — |