Organization
ALBERTSONS LLC
Active
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
3051 MERIDIAN AVE, SAN JOSE, CA 95124-2455
(408) 978-7033
(408) 978-1538
Mailing address
3051 MERIDIAN AVE, SAN JOSE, CA 95124-2455
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY39151
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0534746
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/02/2006
Last updated
12/21/2009
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