Healthcare Provider Details

I. General information

NPI: 1992809081
Provider Name (Legal Business Name): ASTRUP DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 07/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 HOFFMAN DR
OWATONNA MN
55060-2348
US

IV. Provider business mailing address

905 N MAIN ST PO BOX 658
AUSTIN MN
55912-3357
US

V. Phone/Fax

Practice location:
  • Phone: 507-451-0240
  • Fax: 507-451-5134
Mailing address:
  • Phone: 507-434-7428
  • Fax: 507-433-1632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number264432
License Number StateMN

VIII. Authorized Official

Name: DAVID BROOKS
Title or Position: DISTRICT PHARMACY MANAGER
Credential:
Phone: 612-618-6340