Organization
ALBERTSONS LLC
Active
Parent organization
ALBERTSONS HOLDINGS LLC
Other names
OSCO PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBERTSONS HOLDINGS LLC
Authorized official
MR. LORENZO TORRES III (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
1849 W GREENWAY RD, PHOENIX, AZ 85023-3474
(602) 866-0647
(602) 866-0674
Mailing address
1849 W GREENWAY RD, PHOENIX, AZ 85023-3474
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y04596
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0319928
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
099598
—
AZ
Enumeration date
06/04/2006
Last updated
12/12/2007
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