Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENZO TORRES III (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
820 PALM BAY RD NE, PALM BAY, FL 32905-6351
(321) 952-6615
(321) 725-8901
Mailing address
820 PALM BAY RD NE, PALM BAY, FL 32905-6351
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH0012868
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1072418
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/01/2006
Last updated
12/09/2009
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