Organization
ALBERTSONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS PORTER (DISTRICT PHARMACY MANAGER)
(925) 344-9020
Entity
Organization
Contact information
Practice address
9111 DYER ST, EL PASO, TX 79924-6401
(915) 751-2337
Mailing address
9111 DYER ST, EL PASO, TX 79924-6401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13670-040
WI
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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