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Albertsons LLC

Pharmacy, Community/Retail Pharmacy in Arlington, TX. Organization (NPI-2).

NPI number1013955145
StatusActive
Last updated in NPPESJun 17, 2025

Details

NPI
1013955145
Entity type
Organization (NPI-2)
Legal business name
Albertsons LLC
Organization subpart
No
Enumeration date
Jun 2, 2006
Certification date
Jun 17, 2025
Last updated
Jun 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy14853TXYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Albertsons Pharmacy #4142 (Doing Business As)

Practice location

301 Sw Plaza Shopping Ctr
Arlington, TX 76016

Phone 817-478-4238 · Fax 817-478-8015

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Kathy Giannakopoulos
Enrollment Manager
2083953954

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