Organization
AMERICAN CLINICAL SUPPLIES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B YOUNAN (PRESIDENT)
(800) 399-9703
Entity
Organization
Contact information
Practice address
5301 TOUHY AVE, SKOKIE, IL 60077-3247
(847) 722-1692
(847) 754-4991
Mailing address
5301 TOUHY AVE, SKOKIE, IL 60077-3247
(847) 722-1692
(847) 754-4991
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004002512
IL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004002512
DRUG DISTRIBUTOR LICENSE
IL
Enumeration date
11/18/2009
Last updated
05/09/2011
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