Organization · NPI-2

Albertsons LLC

Pharmacy, Community/Retail Pharmacy · Aurora, CO

NPI number1790722460
StatusActive
Last updated in NPPESApr 3, 2020

Details

NPI
1790722460
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 Pharmacy500COYes
333600000X Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Safeway Pharmacy #899 (Doing Business As)

Practice location

6100 S Gun Club Rd
Aurora, CO 80016-5262

Phone 303-400-4880 · Fax 303-400-4883

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Kathy Giannakopoulos
Enrollment Manager
2083953954

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