Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENZO TORRES III (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
220 N INTERSTATE 35, ROUND ROCK, TX 78681-5082
(512) 218-3304
(512) 218-4369
Mailing address
220 N INTERSTATE 35, ROUND ROCK, TX 78681-5082
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
12475
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4503478
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/02/2006
Last updated
12/16/2009
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