Provider First Line Business Practice Location Address:
42 W. MAIN ST
Provider Second Line Business Practice Location Address:
KAUP PHARMACY INC
Provider Business Practice Location Address City Name:
VERSAILLES
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45380
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-526-3337
Provider Business Practice Location Address Fax Number:
937-526-4118
Provider Enumeration Date:
08/15/2012