Organization · NPI-2

Albertsons LLC

Pharmacy, Community/Retail Pharmacy · Baton Rouge, LA

NPI number1891735262

StatusActive

Last updated in NPPESJun 18, 2025

Details

NPI: 1891735262
Entity type: Organization (NPI-2)
Legal business name: Albertsons LLC
Organization subpart: No
Enumeration date: Jun 7, 2006
Certification date: Jun 18, 2025
Last updated: Jun 18, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336C0003X	Pharmacy, Community/Retail Pharmacy	PHY.004559-RC	LA	Yes
332B00000X	Durable Medical Equipment & Medical Supplies	–	–
333600000X	Pharmacy	–	–

Other names

Albertsons Pharmacy #3747 (Doing Business As)

Practice location

15128 Airline Hwy
Baton Rouge, LA 70817-7307

Phone 225-751-4415 · Fax 225-751-0429

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Kathy Giannakopoulos
Enrollment Manager
2083953954

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