Organization · NPI-2

Albertsons LLC

Pharmacy, Community/Retail Pharmacy · Riverside, CA

NPI number1336195833
StatusActive
Last updated in NPPESApr 3, 2020

Details

NPI
1336195833
Entity type
Organization (NPI-2)
Legal business name
Albertsons LLC
Organization subpart
No
Enumeration date
May 26, 2006
Certification date
Apr 3, 2020
Last updated
Apr 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY51355CAYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Savon Pharmacy #2572 (Doing Business As)

Practice location

2975 Van Buren Blvd
Riverside, CA 92503-5672

Phone 951-689-2370 · Fax 951-689-5001

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Kathy Giannakopoulos
Enrollment Manager
2083953954

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