Organization · NPI-2

Albertsons LLC

Pharmacy, Community/Retail Pharmacy · Henderson, NV

NPI number1568828655
StatusActive
Last updated in NPPESApr 3, 2020

Details

NPI
1568828655
Entity type
Organization (NPI-2)
Legal business name
Albertsons LLC
Organization subpart
No
Enumeration date
Jan 6, 2016
Certification date
Apr 3, 2020
Last updated
Apr 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPH03518NVYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Sav-On Pharmacy #3206 (Doing Business As)

Practice location

190 N Boulder Hwy
Henderson, NV 89015-5308

Phone 702-565-7805 · Fax 702-565-1305

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Kathy Giannakopoulos
Enrollment Manager
2083953954

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