Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Cheyenne, WY. Organization (NPI-2).
NPI number1104864537
StatusActive
Last updated in NPPESNov 21, 2007
Details
- NPI
- 1104864537
- Entity type
- Organization (NPI-2)
- Legal business name
- Albertsons LLC
- Organization subpart
- No
- Enumeration date
- Jun 4, 2006
- Last updated
- Nov 21, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5203384 | WY | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Osco Pharmacy (Doing Business As)
Practice location
3355 E Pershing BlvdCheyenne, WY 82001-5764
Phone 307-635-1155 · Fax 307-632-5657
Mailing address
3355 E Pershing BlvdCheyenne, WY 82001-5764
Authorized official
Lorenzo Torres
New Store Enrollments
8479164463
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.
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All 22 Community/Retail Pharmacy providers in Cheyenne · All 3,729 providers in Cheyenne
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