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General NPI Number Information
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NPI Number | 1023377405
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Entity Type | Organization
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Legal Business Name | ASTRUP DRUG INC
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Dates
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Enumeration Date | 05/07/2012
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 115 W JESSIE ST
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City | RUSHFORD
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State | MN
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Zip | 55971-8837
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Country | US
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Telephone | 507-864-2153
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Fax | 507-864-2143
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Provider Business Mailing Address
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Address Line | ASTRUP DRUG, INC. 905 NORTH MAIN ST.
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City | AUSTIN
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State | MN
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Zip | 55912
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Country | US
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Telephone | 507-434-7428
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Fax | 507-433-1632
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Authorized Official
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Title or Position | DISTRICT PHARMACY MANAGER
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Name | DAVID BROOKS
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Credential |
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Telephone | 612-618-6340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 264428
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License Number State | MN
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