Rathdrum Drug

LBN: Osburn Drug Co
Rathdrum Drug is an health care organization with primary practice located at 16376 N Highway 41 , Rathdrum ID 83858-8735. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Osburn Drug Co can be contacted via phone (208) 687-0731, or through Lavigne, Ronald D. via phone (208) 556-1139.

Contact Information

Primary practice address
16376 N Highway 41 Rathdrum ID 83858-8735
Fax: (208) 556-1139
Website:
Authorized official contact:
Name: Lavigne, Ronald D. R.PH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X DME431 Idaho
Suppliers / Parenteral & Enteral Nutrition 332BP3500X DME431 Idaho
Suppliers / Pharmacy 333600000X CP477 Idaho
Suppliers / Community/Retail Pharmacy 3336C0003X CP477 Idaho
Suppliers / Prosthetic/Orthotic Supplier 335E00000X DME431 Idaho

Profile Details

NPI number 1780778233
LBN Legal business name Osburn Drug Co
DBA Doing business as Rathdrum Drug
Authorized official Lavigne, Ronald D. R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 3rd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780778233 NPPES
Idaho MEDICAID 002450401

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