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Contact Information

AMERICAN DRUG STORES LLC
446 S WASHINGTON AVE
KANKAKEE, IL60901
 Phone: 815-935-2041
 Fax: 815-935-5819
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for AMERICAN DRUG STORES LLC

NPI # 1083776959
LBN Legal business name AMERICAN DRUG STORES LLC
Authorized official TIFFANY ELIOPULOS - (ASSISTANT MANAGER, ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2006
Last updated 07/09/2018 - About 8 years ago
Identifiers
IL License # 054-016105
Other 2023279 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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