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Albertsons LLC

Pharmacy, Community/Retail Pharmacy in North Las Vegas, NV. Organization (NPI-2).

NPI number1790694115
StatusActive
Last updated in NPPESSep 2, 2026

Details

NPI
1790694115
Entity type
Organization (NPI-2)
Legal business name
Albertsons LLC
Organization subpart
No
Enumeration date
Sep 2, 2026
Certification date
Sep 1, 2026
Last updated
Sep 2, 2026

Taxonomy and licenses

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

Other names

  • Albertsons Pharmacy #0195 (Doing Business As)

Practice location

7308 N Decatur Blvd
North Las Vegas, NV 89084

Phone 208-395-6200

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Kathy Giannakopoulos
Enrollments Manager
2083953954

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