American Drug Stores LLC

NPI #1629353859 in Morris, Illinois

Provider Information

NPI Number: 1629353859
Entity Type: Organization
Organization Name: American Drug Stores LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SUPERVALU INC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Oct 19, 2011
Last Updated: Oct 19, 2011

Practice Location

Address: 1414 N DIVISION ST
City: Morris
State: Illinois
ZIP Code: 60450-1583
Phone: (815) 941-2353

Authorized Official

Name: DIONA TOWNSEND
Title: ASST MGR PLAN IMPLEMENTATION
Phone: (847) 916-4513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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