Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO TORRES (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
610 EGLIN PKWY NE, FORT WALTON BEACH, FL 32547-2832
(850) 864-4446
(850) 864-4497
Mailing address
610 EGLIN PKWY NE, FORT WALTON BEACH, FL 32547-2832
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065300
OTHER ID NUMBER
—
Enumeration date
06/01/2006
Last updated
11/21/2007
About Stedi
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