Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SCHREINER (MANAGER PLAN IMPLEMENTATION)
(847) 916-4711
Entity
Organization
Contact information
Practice address
2121 N COLLINS ST, ARLINGTON, TX 76011-2878
(817) 548-1515
(817) 459-1195
Mailing address
3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4573653
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
463868
—
TX
Enumeration date
06/01/2006
Last updated
12/30/2008
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