Organization
AMERICAN DRUG STORES LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SCHREINER (MANAGER PLAN IMPLEMENTATION)
(847) 916-4711
Entity
Organization
Contact information
Practice address
4801 SPRING MOUNTAIN RD, LAS VEGAS, NV 89102-8787
(702) 368-2357
(702) 368-1917
Mailing address
3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH732
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2802054
—
NV
01
—
2904933
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/25/2006
Last updated
12/30/2008
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