# CARR-GOTTSTEIN FOODS CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carrs Pharmacy \#1805
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013527852
- **Authorized official:** KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
- **Authorized official phone:** (208) 395-3954

## Contact information

- **Practice address:** 1650 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99517-3340
- **Practice address phone:** (907) 339-0560
- **Practice address fax:** (907) 339-0519
- **Mailing address:** 250 E PARKCENTER BLVD, BOISE, ID 83706-3940
- **Mailing address phone:** (208) 395-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2020
- **Last updated:** 08/06/2020