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Organization
ALBERTSONS LLC
Active
Organization
ALBERTSONS LLC
Active
Other names
Albertsons Pharmacy #0712
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
9650 AIRLINE HWY, BATON ROUGE, LA 70815-5505
(225) 926-9604
(225) 926-9691
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.001991-RC
LA
Other
Enumeration date
06/07/2006
Last updated
06/17/2025
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