Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Tucson, AZ. Organization (NPI-2).
NPI number1861431249
StatusActive
Last updated in NPPESApr 6, 2020
Details
- NPI
- 1861431249
- Entity type
- Organization (NPI-2)
- Legal business name
- Albertsons LLC
- Organization subpart
- No
- Enumeration date
- Jun 4, 2006
- Certification date
- Apr 6, 2020
- Last updated
- Apr 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | Y04566 | AZ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Practice location
9595 E Broadway BlvdTucson, AZ 85748-3210
Phone 520-751-7549 · Fax 520-733-3796
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Authorized official
Kathy Giannakopoulos
Enrollment Manager
2083953954
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