| NPI | 1699721308 |
|---|---|
| Doing Business As | OSCO DRUG #3443 |
| Entity Type | Organization |
| Authorized Contact | KATHY GIANNAKOPOULOS Enrollment Manager 208-395-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-006137) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2025-08-21 |