Kellogg Drugs LLC

NPI #1760576193 in Kellogg, Idaho

Provider Information

NPI Number
1760576193
Entity Type
Organization
Organization Name
Kellogg Drugs LLC
Subpart
Yes (part of a larger organization)
Parent Organization
OSBURN DRUG CO.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 2, 2006
Last Updated
Sep 15, 2020

Practice Location

Address
131 WEST CAMERON AVE
State
Idaho
ZIP Code
83837
Phone
(208) 784-6221

Authorized Official

Name
TONYA SHACKELFORD
Title
PHARMACY OWNER
Phone
(813) 304-2221

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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