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Organization

ALBERTSONS LLC

Active
Other names
OSCO PHARMACY #38
Organization subpart
No

Provider details

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

Contact information

Practice address
1212 GRAND AVE, BILLINGS, MT 59102-4259
(406) 248-5544
(406) 248-5054
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
NR-51268
WY
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHA-PHR-LIC-14925
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0210936
MT
05
0214931
MT
01
2051957
PK
Enumeration date
05/25/2006
Last updated
04/01/2020
About Stedi
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  • EDI platform