Organization · NPI-2

Albertsons LLC

Pharmacy, Community/Retail Pharmacy · Aurora, CO

NPI number1982641650
StatusActive
Last updated in NPPESApr 3, 2020

Details

NPI
1982641650
Entity type
Organization (NPI-2)
Legal business name
Albertsons LLC
Organization subpart
No
Enumeration date
Jun 1, 2006
Certification date
Apr 3, 2020
Last updated
Apr 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy70000073COYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Safeway Pharmacy #841 (Doing Business As)

Practice location

1200 S Buckley Rd
Aurora, CO 80017-4150

Phone 303-750-8346 · Fax 303-750-8349

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Kathy Giannakopoulos
Enrollment Manager
2083953954

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