Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIONA TOWNSEND (ASST MANAGER PLAN IMPLEMENTATION)
(847) 916-4513
Entity
Organization
Contact information
Practice address
475 W LOS ANGELES AVE, MOORPARK, CA 93021-1707
(805) 523-1441
(805) 523-2804
Mailing address
250 E PARKCENTER BLVD, QUARRY B BLDG, BOISE, ID 83706-3940
(208) 395-3436
(208) 495-4503
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY51311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071PHA456920
—
CA
05
—
071PHA477480
—
CA
01
—
2000500
PK
—
Enumeration date
05/25/2006
Last updated
07/25/2013
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