Organization
AMERICAN DRUG STORES LLC
Active
Other names
OSCO DRUG #3003
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
303 HOLMES AVE, CLARENDON HILLS, IL 60514
(630) 325-3265
(630) 325-8682
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
054-003590
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022358
PK
—
Enumeration date
05/25/2006
Last updated
12/15/2025
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