Organization
ALBERTSONS LLC
Active
Other names
SAV-ON PHARMACY #2528
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
615 SW KECK DR, MCMINNVILLE, OR 97128-6691
(503) 474-0894
(503) 434-6296
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002165
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079274
PK
—
05
—
275190
—
OR
Enumeration date
05/25/2006
Last updated
04/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us