OrganizationActive
American Drug Stores LLC
NPI 1962458596 · Community/Retail Pharmacy · Moline, IL
Provider details
- NPI number
- 1962458596
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tiffany Eliopulos, Assistant Manager, Enrollments(208) 395-3906
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
2014 1st Street a
Moline, IL 61265
Phone: (309) 797-9320
Fax: (309) 797-0199
Approximate (ZIP-level) locationGet directions
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other names (DBA / former)
- Doing business as
- Osco Drug #0122
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2018-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.