NPI 1427101112 · live from the CMS NPI Registry
Astrup Drug, INC
Pharmacy, Community/Retail Pharmacy in Lake City, MN. National Provider Identifier 1427101112, active.
NPI record
| NPI | 1427101112 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 223 S Lakeshore Dr, Lake City, MN 55041 |
| Practice phone | 651-345-3411 |
| Mailing address | 905 N Main St, Austin, MN 55912 |
| Enumerated | January 18, 2007 |
| Last updated | June 18, 2019 |
| Authorized official | Dan Astrup, Owner |
| Other names | Kennedy Drug |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 260316-2 (MN) |
| Assisted Living Facility | 310400000X | 260316 (MN) |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | — |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 260316 (MN) |
| Skilled Nursing Facility | 314000000X | 260316 (MN) |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.