Organization · NPI-2
Albertsons LLC
Pharmacy, Community/Retail Pharmacy · Port St Lucie, FL
NPI number1891732327
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1891732327
- Entity type
- Organization (NPI-2)
- Legal business name
- Albertsons LLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | 9561 | FL |
Other names
- Super Saver Savon Pharmacy (Doing Business As)
Practice location
10105 S Us Highway 1Port St Lucie, FL 34952-5608
Phone 772-335-7602 · Fax 772-335-2792
Mailing address
10105 S Us Highway 1Port St Lucie, FL 34952-5608
Authorized official
Lorenzo Torres
New Store Enrollments
8479164463
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