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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