Organization · NPI-2

Albertsons LLC

Pharmacy, Community/Retail Pharmacy · Peoria, AZ

NPI number1679510192
StatusActive
Last updated in NPPESApr 3, 2020

Details

NPI
1679510192
Entity type
Organization (NPI-2)
Legal business name
Albertsons LLC
Organization subpart
No
Enumeration date
Jun 1, 2006
Certification date
Apr 3, 2020
Last updated
Apr 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyY04573AZYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Osco Drug #1971 (Other Name)
  • Osco Pharmacy #0971 (Doing Business As)

Practice location

8950 W Bell Rd
Peoria, AZ 85382-3714

Phone 623-876-8935 · Fax 623-876-8652

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Kathy Giannakopoulos
Enrollment Manager
2083953954

Is something wrong?

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