# ALBERTSONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Albertsons Pharmacy \#0714
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255370631
- **Authorized official:** KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
- **Authorized official phone:** (208) 395-3954

## Contact information

- **Practice address:** 1711 W THOMAS ST, HAMMOND, LA 70401-2942
- **Practice address phone:** (985) 345-4901
- **Practice address fax:** (985) 345-4908
- **Mailing address:** 250 E PARKCENTER BLVD, BOISE, ID 83706-3940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.002038-RC | LA | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 06/18/2025