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Organization

ALBERTSONS LLC

Active
Other names
SAV-ON PHARMACY #0252
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization

Contact information

Practice address
690 GAGE BLVD, RICHLAND, WA 99352
(509) 627-5133
(509) 627-1736
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
PHAR.CF.60342920
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2110106
PK
05
6014773
WA
Enumeration date
06/02/2006
Last updated
04/03/2020
About Stedi
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  • EDI platform