Organization
AMERICAN DRUG STORES LLC
Active
Other names
OSCO DRUG #1234
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASST. MANAGER, PHARMACY ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205
(847) 916-4463
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-3963
(623) 336-6363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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