# SAVON PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Albertsons formerly Supervalu
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255670683
- **Authorized official:** ERICA ZELICKOWSKI PHARMD (PHARMACIST)
- **Authorized official phone:** (208) 830-2453

## Contact information

- **Practice address:** 1653 S VISTA AVE, PHARMACY, BOISE, ID 83705-3172
- **Practice address phone:** (208) 331-3007
- **Mailing address:** 660 S CLEARWATER LN APT 102, BOISE, ID 83712-7746
- **Mailing address phone:** (208) 830-2453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 17649 | NV | — |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | P6676 | ID | Yes |

## Other

- **Enumeration date:** 02/05/2013
- **Last updated:** 02/05/2013