Organization
ALBERTSONS LLC
Active
Parent organization
ALBERTSONS COMPANIES INC
Other names
SAV-ON PHARMACY, ALBERTSONS PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBERTSONS COMPANIES INC
Authorized official
TIFFANY ELIOPULOS (ASST MGR, PHARMACY ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
1219 S BROADWAY AVE, BOISE, ID 83706
(208) 433-9905
(208) 433-9907
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-3963
(623) 336-6363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20011403
NORIDIAN PROVIDER NO
ID
Enumeration date
06/08/2017
Last updated
08/10/2018
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