Albertsons LLC
NPI #1023064946 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1023064946
- Entity Type
- Organization
- Organization Name
- Albertsons LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 25, 2006
- Last Updated
- Apr 2, 2020
Practice Location
- Address
- 590 E 17TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404
- Phone
- (208) 523-1090
Authorized Official
- Name
- KATHY GIANNAKOPOULOS
- Title
- ENROLLMENT MANAGER
- Phone
- (208) 395-3954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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