Organization
ALBERTSONS LLC
Active
Other names
Osco Drug #2952
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
8035 N 19TH AVE, PHOENIX, AZ 85021-5159
(602) 678-0594
(602) 906-9304
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y04556
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100540
—
AZ
01
—
1989393
PK
—
Enumeration date
06/04/2006
Last updated
04/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us