Organization
AMERICAN DRUG STORES LLC
Active
Other names
OSCO DRUG #3082
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASST MANAGER ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
6014 S COTTAGE GROVE AVE, CHICAGO, IL 60637-2526
(208) 395-6200
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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