NPI | 1639125552 |
---|---|
Doing Business As | OSCO DRUG #2219 |
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 054-002943) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2018-06-28 |