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General NPI Number Information
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NPI Number | 1730448119
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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 | 306 MAIN ST # 103
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City | LA CRESCENT
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State | MN
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Zip | 55947-1828
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Country | US
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Telephone | 507-895-8784
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Fax | 507-895-4135
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 264433
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License Number State | MN
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