Organization
KELLOGG DRUGS LLC
Active
Parent organization
OSBURN DRUG CO.
Other names
Sunnyside Drug
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSBURN DRUG CO.
Authorized official
TONYA SHACKELFORD (PHARMACY OWNER)
(813) 304-2221
Entity
Organization
Contact information
Practice address
131 WEST CAMERON AVE, KELLOGG, ID 83837
(208) 784-6221
(208) 556-7311
Mailing address
5908 BRECKENRIDGE PARKWAY, TAMPA, FL 33610
(813) 304-2221
(888) 239-8423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
09/15/2020
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