# ALBERTSONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ALBERTSONS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225266968
- **Authorized official:** DIONA TOWNSEND (ASST MGR PLAN IMPLEMENTATION)
- **Authorized official phone:** (847) 916-4513

## Contact information

- **Practice address:** 3450 HIGHWAY 190, SUITE 8, MANDEVILLE, LA 70471-3196
- **Practice address phone:** (985) 626-0481
- **Practice address fax:** (985) 626-5452
- **Mailing address:** 3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.006155-RC | LA | Yes |

## Other

- **Enumeration date:** 07/01/2009
- **Last updated:** 10/11/2014