Organization · NPI-2

Albertsons LLC

Pharmacy, Community/Retail Pharmacy · Riverside, CA

NPI number1962458463
StatusActive
Last updated in NPPESApr 3, 2020

Details

NPI
1962458463
Entity type
Organization (NPI-2)
Legal business name
Albertsons LLC
Organization subpart
No
Enumeration date
May 26, 2006
Certification date
Apr 3, 2020
Last updated
Apr 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY51346CAYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Sav-On Pharmacy #2514 (Doing Business As)

Practice location

8938 Trautwein Rd
Riverside, CA 92508-9401

Phone 951-656-3394 · Fax 951-656-3094

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Kathy Giannakopoulos
Enrollment Manager
2083953954

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