Organization
ALBERTSONS LLC
Active
Other names
OSCO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO TORRES (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
3355 E PERSHING BLVD, CHEYENNE, WY 82001-5764
(307) 635-1155
(307) 632-5657
Mailing address
3355 E PERSHING BLVD, CHEYENNE, WY 82001-5764
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5203384
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5203384
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/04/2006
Last updated
11/21/2007
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