Organization
RATHRUM DRUG
Active
Parent organization
OSBURN DRUG COMPANY
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSBURN DRUG COMPANY
Authorized official
RON LAVIGNE (PRESIDENT)
(208) 556-1139
Entity
Organization
Contact information
Practice address
805 E MULLAN AVE, OSBURN, ID 83849
(208) 556-1139
Mailing address
PO BOX 2170, OSBURN, ID 83849-2170
(208) 556-1139
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
13-02518477
ID
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
About Stedi
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