NPI | 1295773430 |
---|---|
Doing Business As | OSCO DRUG #0224 |
Entity Type | Organization |
Authorized Contact | TIFFANY ELIOPULOS Assistant Manager, Enrollments 208-395-3906 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-004852) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2018-07-20 |