1528324647 NPI number — BRET A. FRENCH PHARMACIST

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528324647 NPI number — BRET A. FRENCH PHARMACIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRENCH
Provider First Name:
BRET
Provider Middle Name:
A.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARMACIST
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528324647
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/03/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX B605 102 N. WAYNE ST.
Provider Second Line Business Mailing Address:
KAUP PHARMACY INC
Provider Business Mailing Address City Name:
FT. RECOVERY
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45846-0605
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-375-2323
Provider Business Mailing Address Fax Number:
419-375-4488

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
605 N. WAYNE STREET
Provider Second Line Business Practice Location Address:
KAUP PHARMACY INC
Provider Business Practice Location Address City Name:
ARCANUM
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-692-5406
Provider Business Practice Location Address Fax Number:
937-692-5129
Provider Enumeration Date:
04/03/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  RPH03318310-3 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2891321 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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