Organization
OSO HOME CARE, INC.
Active
Other names
Oso Home Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY D BOHART (PRESIDENT)
(818) 557-0308
Entity
Organization
Contact information
Practice address
1214 W BURBANK BLVD, BURBANK, CA 91506-1416
(818) 557-0308
(818) 433-7662
Mailing address
1214 W BURBANK BLVD, BURBANK, CA 91506-1416
(818) 557-0308
(818) 433-7662
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
50850
CA
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740430552
—
CA
01
—
5631901
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/29/2008
Last updated
03/06/2012
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