Provider Demographics
NPI:1588122345
Name:OSRX, INC.
Entity type:Organization
Organization Name:OSRX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP / PIC
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FROST
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:406-541-6121
Mailing Address - Street 1:1120 KENSINGTON AVE UNIT E
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-5619
Mailing Address - Country:US
Mailing Address - Phone:406-541-6121
Mailing Address - Fax:
Practice Address - Street 1:1120 KENSINGTON AVE UNIT E
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-5619
Practice Address - Country:US
Practice Address - Phone:406-541-6121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy