Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAN JOHNSON (MANAGER MANAGED HEALTHCARE)
(208) 395-3436
Entity
Organization
Contact information
Practice address
3765 LAKE EMMA RD, LAKE MARY, FL 32746-3301
(407) 333-0305
(407) 804-0499
Mailing address
3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031472200
—
FL
01
—
1058622
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/02/2006
Last updated
12/03/2010
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