Organization
AMERICAN DRUG STORES LLC
Active
Other names
OSCO DRUG #2507
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ENROLLMENT ASSISTANT MANAGER)
(208) 395-3906
Entity
Organization
Contact information
Practice address
800 NORTHWEST HWY, FOX RIVER GROVE, IL 60021
(847) 516-4326
(847) 516-4415
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
(847) 916-4463
(847) 916-4736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054-018660
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145180
PK
—
Enumeration date
03/25/2014
Last updated
06/27/2018
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