Osco Drug #0122
LBN: American Drug Stores Llc
Osco Drug #0122 is an health care organization with primary practice located at 2014 1St Street A , Moline IL 61265. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
American Drug Stores Llc can be contacted via phone (309) 797-9320, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
2014 1St Street A
Moline IL 61265
Phone: (309) 797-9320
Fax: (309) 797-0199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054-005378 | Illinois |
Profile Details
| NPI number | 1962458596 |
|---|---|
| LBN Legal business name | American Drug Stores Llc |
| DBA Doing business as | Osco Drug #0122 |
| Authorized official | Eliopulos, Tiffany |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jul 20th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962458596 | NPPES |
| Other | 2022689 | PK |
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