Healthcare Provider Details

I. General information

NPI: 1316206709
Provider Name (Legal Business Name): ASTRUP DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2012
Last Update Date: 04/14/2022
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 W MAIN ST
SPRING GROVE MN
55974-1225
US

IV. Provider business mailing address

ASTRUP DRUG, INC. 905 NORTH MAIN ST.
AUSTIN MN
55912
US

V. Phone/Fax

Practice location:
  • Phone: 507-498-5509
  • Fax: 507-498-3632
Mailing address:
  • Phone: 507-434-7428
  • Fax: 507-433-1632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number264427
License Number StateMN

VIII. Authorized Official

Name: TINA MILLER
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 507-433-7447