Organization
ALBERTSONS LLC
Active
Other names
OSCO DRUG #0023
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
861 E WARNER RD, GILBERT, AZ 85296-2963
(480) 558-0369
(480) 558-0385
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
Y04599
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099564
—
AZ
01
—
1991381
PK
—
Enumeration date
06/04/2006
Last updated
04/01/2020
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