Organization
VONS COMPANIES INC
Active
Parent organization
ALBERTSONS COMPANIES INC
Other names
VONS PHARMACY, PAVILIONS PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBERTSONS COMPANIES INC
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
250 E PARKCENTER BLVD, BOISE, ID 83706
(208) 395-6200
Mailing address
PO BOX 742382, LOS ANGELES, CA 90074-2382
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
04/24/2020
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