Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Arlington, TX. Organization (NPI-2).
NPI number1689611139
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1689611139
- Entity type
- Organization (NPI-2)
- Legal business name
- Albertsons LLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2006
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 15657 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Albertsons Pharmacy #4163 (Doing Business As)
Practice location
5950 S Cooper StArlington, TX 76017-4456
Phone 817-472-6458 · Fax 817-419-6445
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Authorized official
Kathy Giannakopoulos
Enrollment Manager
2083953954
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