Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SCHREINER (MANAGER PLAN IMPLEMENTATION)
(847) 916-4711
Entity
Organization
Contact information
Practice address
30931 STAGECOACH BLVD, EVERGREEN, CO 80439-2212
(303) 679-0425
(303) 679-2810
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
400000010
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0615015
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
21271852
—
CO
Enumeration date
06/01/2006
Last updated
12/30/2008
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