Organization
ALBERTSONS LLC
Active
Other names
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
1075 PASADENA AVE S, SOUTH PASADENA, FL 33707-2037
(727) 341-1101
(727) 347-1645
Mailing address
1075 PASADENA AVE S, SOUTH PASADENA, FL 33707-2037
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH0013846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077153
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/01/2006
Last updated
11/21/2007
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