Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIONA TOWNSEND (ASST MANAGER PLAN IMPLEMENTATION)
(847) 916-4513
Entity
Organization
Contact information
Practice address
1450 SW ERIE ST, OAK HARBOR, WA 98277-3104
(360) 279-8829
(360) 279-9249
Mailing address
250 E PARKCENTER BLVD, QUARRY B BLDG, BOISE, ID 83706-3940
(208) 395-3436
(208) 495-4503
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60342852
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110530
PK
—
05
—
6022016
—
WA
Enumeration date
05/26/2006
Last updated
09/10/2013
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