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36D0946593 CLIA NUMBER - KAUP PHARMACY

Laboratory Demographics

CLIA Number: 36D0946593

Facility Name: KAUP PHARMACY

Facility Address:
102 NORTH WAYNE STREET
FORT RECOVERY, OH
ZIP 45846
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Facility Phone Number: 419 375-2323

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1518016021

Taxonomy: 3336H0001X - Pharmacy
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

CLIA Record

Field Name Field Value
CLIA Number 36D0946593
LAB Type Pharmacy
Facility Name KAUP PHARMACY
Street 102 NORTH WAYNE STREET
City FORT RECOVERY
State OH
ZIP 45846
Phone 419 375-2323
CertificateType 4
CertificateEffectiveDate 5/29/2022
CertificateExpirationDate 5/28/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024