Organization
ALBERTSONS LLC
Active
Other names
SAV-ON PHARMACY #1909
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
1285 EL PASEO RD, LAS CRUCES, NM 88001-6000
(575) 541-1264
(575) 541-1292
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00002837
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058432
PK
—
05
—
62058
—
NM
Enumeration date
06/02/2006
Last updated
04/03/2020
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