Organization
KAUP PHARMACY, INC.
Active
Parent organization
KAUP PHARMACY, INC.
Other names
Kaup PharmacyDependable Home IV Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAUP PHARMACY, INC.
Authorized official
JASON C ANDREWS (PRESIDENT)
(419) 375-2323
Entity
Organization
Contact information
Practice address
110 E BUTLER ST, SUITE B, FORT RECOVERY, OH 45846-0605
(419) 375-2323
(419) 375-5500
Mailing address
110 E BUTLER ST, SUITE B, FORT RECOVERY, OH 45846-0605
(419) 375-2323
(419) 375-5500
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
02 1256100
OH
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
02 1256100
OH
3336S0011X
Specialty Pharmacy
02 1256100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195955
ANTHEM
OH
05
—
0072652
—
OH
05
—
201370590A
—
IN
Enumeration date
01/10/2007
Last updated
09/04/2024
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