Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIONA TOWNSEND (ASST MANAGER PLAN IMPLEMENTATION)
(847) 916-4513
Entity
Organization
Contact information
Practice address
11 S STATE ST, LAKE OSWEGO, OR 97034-3929
(503) 534-2883
(503) 534-2886
Mailing address
250 E PARKCENTER BLVD, QUARRY B BLDG, BOISE, ID 83706-3940
(208) 395-3436
(208) 495-4503
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0001856
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079114
PK
—
05
—
230427
—
OR
Enumeration date
05/25/2006
Last updated
07/19/2013
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