Organization
ALBERTSONS LLC
Active
Organization
ALBERTSONS LLC
Active
Other names
Albertsons Savon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAN JOHNSON (MANAGER MANAGED HEALTHCARE)
(208) 395-3436
Entity
Organization
Contact information
Practice address
1590 US HIGHWAY 41 BYP S, VENICE, FL 34293-1033
(941) 493-6340
(941) 497-6997
Mailing address
75 REMITTANCE DR, SUITE 1119, CHICAGO, IL 60675-1119
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7726
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031459500
—
FL
Enumeration date
06/02/2006
Last updated
11/07/2011
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