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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
2300 E TROPICANA AVE, LAS VEGAS, NV 89119-8335
(702) 736-4174
(702) 736-8543
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
PH742
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2802042
NV
01
2904907
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
05/25/2006
Last updated
12/30/2008
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