Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY #0728
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
260 W FOOTHILL PKWY, CORONA, CA 92882-8540
(951) 340-2040
(951) 340-2486
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
PHY51361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071PHA446940
—
CA
05
—
071PHA476910
—
CA
01
—
2095394
PK
—
Enumeration date
05/26/2006
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