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ASTRUP DRUG INC NPI 1427101112


NPI Information

NPI: 1427101112
Provider Name: ASTRUP DRUG, INC

Doing Business As: KENNEDY DRUG

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
223 S LAKESHORE DR
LAKE CITY, MN
ZIP 55041
Phone: (651) 345-3411
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ASTRUP DRUG, INC is a community/retail pharmacy pharmacy in Lake City, MN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ASTRUP DRUG, INC NPI is 1427101112. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kennedy Drug.

The provider's business location address is:

223 S LAKESHORE DR
LAKE CITY, MN
ZIP 55041-642
Phone: (651) 345-3411
Fax: (651) 345-4848

The provider's authorized official is Dan Astrup .
The authorized official title is Owner and has the following contact phone number (507) 433-7447.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 6/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist260316-2MINNESOTANo
2310400000XAssisted Living Facility260316MINNESOTANo
3311ZA0620XCustodial Care FacilityAdult Care HomeNo
4313M00000XNursing Facility/Intermediate Care Facility260316MINNESOTANo
5314000000XSkilled Nursing Facility260316MINNESOTANo
63336L0003XPharmacyLong Term Care PharmacyNo
73336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1421758600MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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