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
5998 MOBILE HWY, PENSACOLA, FL 32526-1873
(850) 941-8758
(850) 941-8740
Mailing address
5998 MOBILE HWY, PENSACOLA, FL 32526-1873
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7240
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036880
OTHER ID NUMBER
—
Enumeration date
06/01/2006
Last updated
11/21/2007
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