Organization · NPI-2

Albertsons LLC

Pharmacy, Community/Retail Pharmacy · Baton Rouge, LA

NPI number1962449413
StatusActive
Last updated in NPPESJun 18, 2025

Details

NPI
1962449413
Entity type
Organization (NPI-2)
Legal business name
Albertsons LLC
Organization subpart
No
Enumeration date
Jun 1, 2006
Certification date
Jun 18, 2025
Last updated
Jun 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY.001625-RCLAYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Albertsons Pharmacy #1311 (Doing Business As)

Practice location

7515 Perkins Rd
Baton Rouge, LA 70808-4330

Phone 225-769-6084 · Fax 225-767-7300

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Tammy Green
Enrollment Manager
2083953932

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