Tavis Osler

NPI 1376808170 · on the registry since 2012 · sole proprietor

Practice

Address: 217 W Ironwood Dr
Coeur D Alene, ID 83814
Phone: (208) 765-9586
Fax: (208) 765-6922
Organisation at this address: Haley Vision Center, Pllc
Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho