Organization
ALBERTSONS LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENZO TORRES III (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
850 N BELL BLVD, CEDAR PARK, TX 78613-2242
(512) 335-2276
(512) 335-2338
Mailing address
850 N BELL BLVD, CEDAR PARK, TX 78613-2242
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
16781
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4596396
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/01/2006
Last updated
12/15/2009
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