| NPI | 1912953696 |
|---|---|
| Doing Business As | OSCO DRUG #3478 |
| Entity Type | Organization |
| Authorized Contact | KATHY GIANNAKOPOULOS Manager, Enrollments 208-395-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-010074) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-03-04 |