Provider Demographics
NPI:1467711879
Name:ASTRUP DRUG, INC.
Entity Type:Organization
Organization Name:ASTRUP DRUG, INC.
Other - Org Name:STERLING LONG TERM CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-433-7447
Mailing Address - Street 1:ASTRUP DRUG, INC.
Mailing Address - Street 2:905 NORTH MAIN ST.
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912
Mailing Address - Country:US
Mailing Address - Phone:507-434-7428
Mailing Address - Fax:507-433-1632
Practice Address - Street 1:115 W JESSIE ST STE B
Practice Address - Street 2:
Practice Address - City:RUSHFORD
Practice Address - State:MN
Practice Address - Zip Code:55971-8837
Practice Address - Country:US
Practice Address - Phone:507-864-3159
Practice Address - Fax:507-864-3833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MN2644363336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2134954OtherPK
0489460021Medicare NSC