| Organization Name: | OSBURN DRUG CO |
| NPI Number: | 1780778233 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD D. LAVIGNE (PRESIDENT) |
| Mailing Address: | 16376 N Highway 41 Rathdrum |
| State: | ID US |
| Postal Code: | 838588735 |
| Phone Number: | 2086870731 |
| Fax Number: | 2085561139 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 04/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | DME431 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |