Albertsons LLC
Pharmacy, Community/Retail Pharmacy in North Las Vegas, NV. Organization (NPI-2).
NPI number1326094947
StatusActive
Last updated in NPPESApr 6, 2020
Details
- NPI
- 1326094947
- Entity type
- Organization (NPI-2)
- Legal business name
- Albertsons LLC
- Organization subpart
- No
- Enumeration date
- May 25, 2006
- Certification date
- Apr 6, 2020
- Last updated
- Apr 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PH01981 | NV | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Sav-On Pharmacy #4005 (Doing Business As)
Practice location
3010 W Ann RdNorth Las Vegas, NV 89031-7259
Phone 702-656-3425 · Fax 702-656-3540
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Authorized official
Kathy Giannakopoulos
Enrollment Manager
2083953954
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