Organization
ALBERTSONS LLC
Active
Other names
Albertsons Pharmacy #3447
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
205 S 1ST AVE, LAUREL, MT 59044-3305
(406) 812-3200
(406) 812-3201
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3999
(208) 395-3954
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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