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Organization
AMERICAN DRUG STORES LLC
Active
Organization
AMERICAN DRUG STORES LLC
Active
Other names
OSCO DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
DIONA TOWNSEND (ASST MANAGER PLAN IMPLEMENTATION)
(847) 916-4513
Entity
Organization
Contact information
Practice address
6057 S WESTERN AVE, CHICAGO, IL 60636-2019
(773) 925-9749
(773) 925-0196
Mailing address
3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054008625
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1450838
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/30/2006
Last updated
08/06/2010
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