| NPI | 1114973880 |
|---|---|
| Doing Business As | OSCO DRUG #2488 |
| Entity Type | Organization |
| Authorized Contact | DEMOND HAWKINS Third Party Manager 208-395-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-008105) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-06-18 |