# ALBERTSONS LLC

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

## Provider details

- **NPI number:** 1255387627
- **Authorized official:** DIONA TOWNSEND (ASST MANAGER PLAN IMPLEMENTATION)
- **Authorized official phone:** (847) 916-4513

## Contact information

- **Practice address:** 835 S BLUFF ST, ST GEORGE, UT 84770-5202
- **Practice address phone:** (435) 628-0469
- **Practice address fax:** (435) 688-2808
- **Mailing address:** 250 E PARKCENTER BLVD, QUARRY B BLDG, BOISE, ID 83706-3940
- **Mailing address phone:** (208) 395-3436
- **Mailing address fax:** (208) 495-4503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8600197-1703 | UT | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 09/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 204057706019 | — | UT |
| 01 | — | 2100107 | PK | — |