Organization
ALBERTSONS LLC
Active
Other names
OSCO PHARMACY #0037
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
2250 10TH AVE S, GREAT FALLS, MT 59405-2868
(406) 727-9880
(406) 453-9863
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHA-PHR-LIC-14991
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210783
—
MT
05
—
0214851
—
MT
01
—
2051966
PK
—
Enumeration date
05/25/2006
Last updated
04/01/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us