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General NPI Number Information
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NPI Number | 1063506475
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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 | 10/03/2006
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 1109 W OAKLAND AVE
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City | AUSTIN
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State | MN
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Zip | 55912-2245
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Country | US
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Telephone | 507-433-7123
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Fax | 507-433-1201
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Provider Business Mailing Address
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Address Line | 1109 W OAKLAND AVE
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City | AUSTIN
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State | MN
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Zip | 55912-2245
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Country | US
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Telephone | 507-433-7123
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Fax | 507-433-1201
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Authorized Official
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Title or Position | SENIOR CONTRACTING & LICENSING SPEC
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Name | TINA MILLER
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Credential |
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Telephone | 507-433-7447
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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 | 2614407
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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