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Organization

ALBERTSONS LLC

Active
Other names
SAV-ON PHARMACY #0801
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization

Contact information

Practice address
311 W COLLEGE DR, DURANGO, CO 81301-5911
(970) 382-2228
(970) 382-0814
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
320000001
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2002165
PK
05
25386522
CO
Enumeration date
06/01/2006
Last updated
04/03/2020
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