Organization
ALBERTSONS LLC
Active
Other names
ALBERTSONS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO TORRES (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
14500 PLANK RD, BAKER, LA 70714-5432
(225) 774-2267
(225) 778-0201
Mailing address
14500 PLANK RD, BAKER, LA 70714-5432
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
3407
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1927067
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/02/2006
Last updated
12/16/2009
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