Organization
AMERICAN DRUG STORES LLC
Active
Other names
OSCO DRUG #3316
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
1071 N ROSELLE RD, HOFFMAN ESTATES, IL 60169
(847) 882-6477
(847) 781-0802
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054-004964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022583
PK
—
Enumeration date
06/02/2006
Last updated
09/12/2019
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