Organization
ALBERTSONS LLC
Active
Other names
Sav-On Pharmacy #3205
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
575 COLLEGE DR, HENDERSON, NV 89015-7518
(702) 568-0259
(702) 568-0380
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
PH03519
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157374
PK
—
Enumeration date
12/21/2015
Last updated
04/03/2020
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