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Contact Information

AMERICAN DRUG STORES LLC
3531 N BROADWAY ST
CHICAGO, IL60657
 Phone: 773-528-6615
 Fax: 773-404-6916
 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
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AMERICAN DRUG STORES LLC

NPI Number 1275571416
LBN Legal business name AMERICAN DRUG STORES LLC
Authorized official TIFFANY ELIOPULOS - (ENROLLMENT ASSISTANT MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2006
Last updated 06/28/2018 - About 8 years ago
Identifiers
IL License # 054-003676
Other 2022371 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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