| NPI | 1558790311 |
|---|---|
| Doing Business As | OSCO DRUG #0202 |
| Entity Type | Organization |
| Authorized Contact | TIFFANY ELIOPULOS Enrollment Assistant Manager 208-395-3906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-018449) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2018-06-28 |