Organization · NPI-2

Albertsons LLC

Pharmacy, Community/Retail Pharmacy · Port St Lucie, FL

NPI number1245277797
StatusActive
Last updated in NPPESDec 3, 2010

Details

NPI
1245277797
Entity type
Organization (NPI-2)
Legal business name
Albertsons LLC
Organization subpart
No
Enumeration date
Jun 1, 2006
Last updated
Dec 3, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPH17179FLYes
333600000X Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Savon Pharmacy (Doing Business As)

Practice location

900 Sw Saint Lucie West Blvd
Port St Lucie, FL 34986-1766

Phone 772-878-8462 · Fax 772-344-5619

Mailing address

3030 Cullerton St
Franklin Park, IL 60131-2205

Authorized official

Dan Johnson
Manager Managed Healthcare
2083953436

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