Organization
ALBERTSONS LLC
Active
Other names
ALBERTSONS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO TORRES (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
1850 30TH ST, BOULDER, CO 80301-1016
(303) 786-7082
(303) 447-3986
Mailing address
1850 30TH ST, BOULDER, CO 80301-1016
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
90000005
CO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0616702
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/01/2006
Last updated
09/11/2025
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