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Organization

AMERICAN DRUG STORES LLC

Active
Other names
OSCO DRUG #3346
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization

Contact information

Practice address
153 SCHILLER ST, ELMHURST, IL 60126-2869
(630) 834-9112
(630) 279-3218
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
054-004078
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2022357
PK
Enumeration date
05/25/2006
Last updated
03/04/2020
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