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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
3112 E GRAND AVE, LARAMIE, WY 82070-5141
(307) 745-7246
(307) 742-7392
Mailing address
3112 E GRAND AVE, LARAMIE, WY 82070-5141

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5203423
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5203423
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/01/2006
Last updated
11/21/2007
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