Organization
KAUP PHARMACY INC
Active
Other names
KAUP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JASON C ANDREWS (PRESIDENT)
(202) 285-0638
Entity
Organization
Contact information
Practice address
104 W MAIN STREET, BERNE, IN 46711
(260) 589-3330
(260) 589-3331
Mailing address
104 W MAIN STREET, BERNE, IN 46711
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
60006414A
IN
3336C0003X
Community/Retail Pharmacy
Primary
60006414A
IN
3336S0011X
Specialty Pharmacy
60006414A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147685
PK
—
Enumeration date
10/24/2014
Last updated
09/04/2024
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