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Organization

ALBERTSONS LLC

Active
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Organization

ALBERTSONS LLC

Active
Other names
SAVON PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DIONA TOWNSEND (ASST MGR PLAN IMPLEMENTATION)
(847) 916-4513
Entity
Organization

Contact information

Practice address
13150 CENTRAL AVE SE, ALBUQUERQUE, NM 87123-3032
(505) 292-2293
(505) 292-2372
Mailing address
3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
PH00002940
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2059014
PK
05
75926369
NM
Enumeration date
07/06/2007
Last updated
12/10/2013
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