Albertsons LLC
Dietitian, Registered in Boise, ID. Organization (NPI-2).
NPI number1457880940
StatusActive
Last updated in NPPESAug 10, 2018
Details
- NPI
- 1457880940
- Entity type
- Organization (NPI-2)
- Legal business name
- Albertsons LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 8, 2017
- Last updated
- Aug 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Albertsons Pharmacy (Doing Business As)
- Sav-On Pharmacy (Doing Business As)
Practice location
1219 S Broadway AveBoise, ID 83706
Phone 208-433-9905 · Fax 208-433-9907
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Phone 208-395-3963 · Fax 623-336-6363
Other practice locations
909 E Parkcenter Blvd
Boise, ID 83706-6721
Boise, ID 83706-6721
Phone 208-338-3722 · Fax 208-338-3739
1650 W State St
Boise, ID 83702-4040
Boise, ID 83702-4040
Phone 208-344-8660 · Fax 208-343-1343
1653 S Vista Ave
Boise, ID 83705-3172
Boise, ID 83705-3172
Phone 208-331-3007 · Fax 208-331-3029
250 S Eagle Rd
Eagle, ID 83616-5906
Eagle, ID 83616-5906
Phone 208-939-9854 · Fax 208-939-2721
250 E Parkcenter Blvd
Boise, ID 83706-3940
Boise, ID 83706-3940
Phone 208-395-3963 · Fax 623-336-6363
Authorized official
Tiffany Eliopulos
Asst Mgr, Pharmacy Enrollments
2083953906
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