# ALBERTSONS LLC

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

## Provider details

- **NPI number:** 1760438311
- **Authorized official:** DIONA TOWNSEND (ASST MANAGER PLAN IMPLEMENTATION)
- **Authorized official phone:** (847) 916-4513

## Contact information

- **Practice address:** 11 S STATE ST, LAKE OSWEGO, OR 97034-3929
- **Practice address phone:** (503) 534-2883
- **Practice address fax:** (503) 534-2886
- **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 | RP-0001856 | OR | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 07/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2079114 | PK | — |
| 05 | — | 230427 | — | OR |