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Organization

KAUP PHARMACY INC

Active
Other names
KAUP PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JASON C ANDREWS (PRESIDENT)
(765) 964-3098
Entity
Organization

Contact information

Practice address
366 W DEERFIELD RD, UNION CITY, IN 47390-1039
(765) 964-3098
(765) 964-3093
Mailing address
366 W DEERFIELD RD, UNION CITY, IN 47390-1039
(765) 964-3098
(765) 964-3093

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
60005917A
IN
3336C0004X
Compounding Pharmacy
3336S0011X
Specialty Pharmacy
60005917A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200537580A
IN
01
2025349
PK
05
2633663
OH
Enumeration date
10/20/2006
Last updated
09/04/2024
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