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Organization
AMERICAN DRUG STORES LLC
Active
Organization
AMERICAN DRUG STORES LLC
Active
Other names
Osco Drug #3198
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
10090 N HIGHWAY 47, HUNTLEY, IL 60142-9331
(847) 802-3347
(847) 802-3348
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
10/30/2020
Last updated
12/21/2023
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