Organization
ALBERTSONS LLC
Active
Other names
SUPER SAVER SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO TORRES (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
6249 RUFE SNOW DR, WATAUGA, TX 76148-3316
(817) 581-7144
(817) 428-9893
Mailing address
6249 RUFE SNOW DR, WATAUGA, TX 76148-3316
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
11657
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4571825
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/01/2006
Last updated
09/11/2025
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