Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY #1333
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
38727 TIERRA SUBIDA AVE, PALMDALE, CA 93551-4248
(661) 274-9678
(661) 274-1137
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY51333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071PHA476760
—
CA
01
—
1993096
PK
—
05
—
4H0PHA406500
—
CA
Enumeration date
05/25/2006
Last updated
04/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us