Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENZO TORRES III (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
2106 N GALLOWAY AVE, MESQUITE, TX 75150-5730
(972) 288-4474
(972) 289-1224
Mailing address
2106 N GALLOWAY AVE, MESQUITE, TX 75150-5730
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
10917
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4568070
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/01/2006
Last updated
12/08/2009
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