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
11170 N CENTRAL EXPY, DALLAS, TX 75243-6904
(214) 363-2498
(214) 265-9665
Mailing address
11170 N CENTRAL EXPY, DALLAS, TX 75243-6904
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
15908
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4591257
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/02/2006
Last updated
12/16/2009
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