Organization
AMERICAN DRUG STORES INC
Active
Parent organization
ALBERTSONS INC
Other names
SAVON DRUG #9181
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBERTSONS INC
Authorized official
MR. LORENZO TORRES III (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
455 ENCINITAS BLVD, ENCINITAS, CA 92024-3728
(760) 436-4055
(760) 436-3832
Mailing address
455 ENCINITAS BLVD, ENCINITAS, CA 92024-3728
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY36352
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G2-0584549
NCPDP PROVIDER#
—
05
—
PHA363520
—
CA
Enumeration date
07/12/2007
Last updated
07/12/2007
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