Organization
AMERICAN DRUG STORES LLC
Active
Parent organization
ALBERTSONS COMPANIES INC
Other names
OSCO DRUG
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBERTSONS COMPANIES INC
Authorized official
KATHY GIANNAKOPOULOS (MANAGER, ENROLLMENTS)
(208) 395-3954
Entity
Organization
Contact information
Practice address
250 E PARKCENTER BLVD, BOISE, ID 83706
(208) 395-3963
(623) 336-6363
Mailing address
PO BOX 742382, LOS ANGELES, CA 90074-2382
(208) 395-3963
(623) 336-6363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00036571
RAILROAD MEDICARE PTAN
—
Enumeration date
10/03/2006
Last updated
06/07/2019
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