American Drug Stores LLC
Pharmacy, Community/Retail Pharmacy in Lombard, IL. Organization (NPI-2).
NPI number1285680108
StatusActive
Last updated in NPPESJun 28, 2018
Details
- NPI
- 1285680108
- Entity type
- Organization (NPI-2)
- Legal business name
- American Drug Stores LLC
- Organization subpart
- No
- Enumeration date
- May 25, 2006
- Last updated
- Jun 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 054-003336 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Osco Drug #3278 (Doing Business As)
Practice location
1177 S Main StLombard, IL 60148
Phone 630-629-5050 · Fax 630-629-5057
Mailing address
250 E Parkcenter BlvdMailstop Sec2-B
Boise, ID 83706-3940
Authorized official
Tiffany Eliopulos
Enrollment Assistant Manager
2083953906
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