| NPI | 1215976691 |
|---|---|
| Doing Business As | OSCO DRUG |
| Entity Type | Organization |
| Authorized Contact | DAN JOHNSON Manager Managed Healthcare 208-395-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y04570) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-12-03 |