Organization
KAUP PHARMACY INC
Active
Other names
KAUP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JASON C ANDREWS (PRESIDENT)
(419) 375-2323
Entity
Organization
Contact information
Practice address
102 NORTH WAYNE STREET, FT RECOVERY, OH 45846-0605
(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
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020170400
OH
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
020170400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439243
—
OH
05
—
100377670A
—
IN
01
—
2075707
PK
—
Enumeration date
05/27/2005
Last updated
09/04/2024
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