Organization
ALBERTSONS LLC
Active
Parent organization
ALBERTSONS HOLDINGS LLC
Other names
SAVON 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
26841 S TAMIAMI TRL, BONITA SPRINGS, FL 34134-7817
(239) 947-1922
(239) 947-3058
Mailing address
26841 S TAMIAMI TRL, BONITA SPRINGS, FL 34134-7817
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH14195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031512500
—
FL
01
—
1078181
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/01/2006
Last updated
04/25/2008
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