Organization · NPI-2
American Drug Stores LLC
Pharmacy, Community/Retail Pharmacy · Olympia Fields, IL
NPI number1265488183
StatusActive
Last updated in NPPESFeb 23, 2011
Details
- NPI
- 1265488183
- Entity type
- Organization (NPI-2)
- Legal business name
- American Drug Stores LLC
- Organization subpart
- No
- Enumeration date
- May 25, 2006
- Last updated
- Feb 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 054009487 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Osco Drug (Doing Business As)
Practice location
2502 Lincoln HwyOlympia Fields, IL 60461-1902
Phone 708-747-5544 · Fax 708-747-4882
Mailing address
3030 Cullerton StFranklin Park, IL 60131-2205
Authorized official
Diona Townsend
Asst Manager Plan Implementation
8479164513
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