Organization
OSBURN DRUG CO
Active
Organization
OSBURN DRUG CO
Active
Other names
Rathdrum Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD D. LAVIGNE R.PH. (PRESIDENT)
(208) 556-1139
Entity
Organization
Contact information
Practice address
16376 N HIGHWAY 41, RATHDRUM, ID 83858-8735
(208) 687-0731
(208) 556-1139
Mailing address
PO BOX 2170, OSBURN, ID 83849-2170
(208) 687-0731
(208) 687-0990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DME431
ID
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
DME431
ID
333600000X
Pharmacy
CP477
ID
3336C0003X
Community/Retail Pharmacy
CP477
ID
335E00000X
Prosthetic/Orthotic Supplier
DME431
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002450401
—
ID
Enumeration date
10/02/2006
Last updated
04/03/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up