Organization
ALBERTSONS LLC
Active
Other names
Albertsons Pharmacy #3065
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
4657 S EAGLE RD, MERIDIAN, ID 83642
(082) 729-7302
(208) 272-9731
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/30/2022
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