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Organization

ALBERTSONS LLC

Active
Parent organization
ALBERTSONS HOLDINGS LLC
Other names
OSCO PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALBERTSONS HOLDINGS LLC
Authorized official
MR. LORENZO TORRES III (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization

Contact information

Practice address
2610 S DOUGLAS HWY, GILLETTE, WY 82718-6468
(307) 687-2996
(307) 686-6153
Mailing address
2610 S DOUGLAS HWY, GILLETTE, WY 82718-6468

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5203714
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5203714
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/01/2006
Last updated
11/26/2007
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