Rathrum Drug

NPI 1144475385 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1144475385
Enumeration Date 12/01/2008
Last Updated 12/01/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RON RON
Position PRESIDENT
Phone (208) 556-1139
Fax
Practice Location
805 E MULLAN AVE
OSBURN ID, 83849, US
Phone (208) 556-1139
Fax
Business Location
PO BOX 2170
OSBURN ID, 83849-2170, US
Phone (208) 556-1139
Fax
Toxanomy
Taxonomy Code 332B00000X
License State Idaho
License Number 13-02518477
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According to our database, Rathrum Drug NPI is 1144475385, taxonomy code is 332B00000X and license number is 13-02518477, license state is located at Idaho. Rathrum Drug physically located at 805 E Mullan Ave, Osburn ID, 83849. NPI Number 1033115704 has the healthcare provider type.

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1144475385 NPI number is provided on an as is basis without warranty of any kind. 1144475385 is maintained by the National Plan & Provider Enumeration System. The contents of Rathrum Drug are for informational purposes only.