Provider Demographics
NPI:1528324647
Name:FRENCH, BRET A (PHARMACIST)
Entity type:Individual
Prefix:
First Name:BRET
Middle Name:A
Last Name:FRENCH
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX B605 102 N. WAYNE ST.
Mailing Address - Street 2:KAUP PHARMACY INC
Mailing Address - City:FT. RECOVERY
Mailing Address - State:OH
Mailing Address - Zip Code:45846-0605
Mailing Address - Country:US
Mailing Address - Phone:419-375-2323
Mailing Address - Fax:419-375-4488
Practice Address - Street 1:605 N. WAYNE STREET
Practice Address - Street 2:KAUP PHARMACY INC
Practice Address - City:ARCANUM
Practice Address - State:OH
Practice Address - Zip Code:45304
Practice Address - Country:US
Practice Address - Phone:937-692-5406
Practice Address - Fax:937-692-5129
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRPH03318310-3183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2891321Medicaid
OH2891321Medicaid