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
835 S BLUFF ST, ST GEORGE, UT 84770-5202
(435) 628-0469
(435) 688-2808
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
8600197-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204057706019
—
UT
01
—
2100107
PK
—
Enumeration date
05/26/2006
Last updated
09/09/2013
Update your record
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