Organization
KAUP PHARMACY INC
Active
Other names
Kaup Pharmacy Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ANDREWS (PRESIDENT)
(419) 375-2323
Entity
Organization
Contact information
Practice address
102 N WAYNE ST, FORT RECOVERY, OH 45846-8059
(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
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
020170400
OH
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
64000258A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439243
—
OH
05
—
100377670A
—
IN
01
—
2175835
PK
—
Enumeration date
03/06/2018
Last updated
09/04/2024
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