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Organization
AMERICAN DRUG STORES LLC
Active
Organization
AMERICAN DRUG STORES LLC
Active
Other names
OSCO DRUG #0081
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENT)
(208) 395-3906
Entity
Organization
Contact information
Practice address
3795 ORCHARD RD, OSWEGO, IL 60543
(630) 551-2672
(630) 551-7802
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054-016402
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023664
PK
—
Enumeration date
03/31/2008
Last updated
07/09/2018
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