Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Emmett, ID. Organization (NPI-2).
NPI number1922054436
StatusActive
Last updated in NPPESApr 2, 2020
Details
- NPI
- 1922054436
- Entity type
- Organization (NPI-2)
- Legal business name
- Albertsons LLC
- Organization subpart
- No
- Enumeration date
- May 26, 2006
- Certification date
- Apr 2, 2020
- Last updated
- Apr 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 21065RP | ID | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Sav On Pharmacy #0126 (Doing Business As)
Practice location
640 Highway 16Emmett, ID 83617-9427
Phone 208-365-4128 · Fax 208-365-4264
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Authorized official
Kathy Giannakopoulos
Enrollment Manager
2083953954
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All 5 Community/Retail Pharmacy providers in Emmett · All 250 providers in Emmett
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