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Albertsons LLC

Pharmacy, Community/Retail Pharmacy in Cheyenne, WY. Organization (NPI-2).

NPI number1043494545
StatusActive
Last updated in NPPESSep 11, 2018

Details

NPI
1043494545
Entity type
Organization (NPI-2)
Legal business name
Albertsons LLC
Organization subpart
No
Enumeration date
Dec 20, 2007
Last updated
Sep 11, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyR10123WYYes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Osco Pharmacy #0065 (Doing Business As)

Practice location

3355 E Pershing Blvd
Cheyenne, WY 82001-5764

Phone 307-635-1155 · Fax 307-632-5657

Mailing address

250 E Parkcenter Blvd
Mailstop Sec2-B
Boise, ID 83706-3940

Phone 847-916-4463 · Fax 847-916-4736

Authorized official

Tiffany Eliopulos
Assistant Manager, Enrollments
2083953906

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Retail Pharmacy providers in Cheyenne, WY

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