Organization · NPI-2

Albertsons LLC

Pharmacy, Community/Retail Pharmacy · San Diego, CA

NPI number1396100285
StatusActive
Last updated in NPPESApr 3, 2020

Details

NPI
1396100285
Entity type
Organization (NPI-2)
Legal business name
Albertsons LLC
Organization subpart
No
Enumeration date
Dec 21, 2015
Certification date
Apr 3, 2020
Last updated
Apr 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy54337CAYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Sav-On Pharmacy #3179 (Doing Business As)

Practice location

12475 Rancho Bernardo Rd
San Diego, CA 92128-2143

Phone 858-385-9229 · Fax 858-487-6464

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Kathy Giannakopoulos
Enrollment Manager
2083953954

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 Pharmacy, Community/Retail Pharmacy providers in San Diego, CA