Organization
ALBERTSONS LLC
Active
Parent organization
ALBERTSONS COMPANIES INC
Other names
Sav-on Pharmacy 6355
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBERTSONS COMPANIES INC
Authorized official
DEMOND HAWKINS (MGR, PHARMACY ENROLLMENTS)
(208) 395-3905
Entity
Organization
Contact information
Practice address
1018 CASITAS PASS RD, CARPINTERIA, CA 93013
(805) 684-8367
(805) 684-8848
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-3905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43276
CA
Other
Enumeration date
06/11/2015
Last updated
05/16/2018
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