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Organization

ALBERTSONS LLC

Active
Parent organization
ALBERTSONS COMPANIES LLC
Other names
SAV-ON PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALBERTSONS COMPANIES LLC
Authorized official
DEMOND HAWKINS (MGR, HOST ADMIN & ENROLLMENTS)
(208) 395-3905
Entity
Organization

Contact information

Practice address
250 S EAGLE RD, EAGLE, ID 83616-5906
(208) 939-9850
(208) 939-2721
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
(208) 395-3963
(623) 336-6363

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APPLIED FOR
MNT BILLER
Enumeration date
03/09/2017
Last updated
05/02/2017
About Stedi
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