Organization
ALBERTSONS LLC
Active
Organization
ALBERTSONS LLC
Active
Other names
OSCO PHARMACY #0066
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
5800 YELLOWSTONE RD, CHEYENNE, WY 82009-4131
(307) 637-8361
(307) 637-5959
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
(847) 916-4463
(847) 916-4736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
R10097
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125402200
—
WY
01
—
2111697
PK
—
Enumeration date
12/20/2007
Last updated
09/11/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up