Albertsons LLC

NPI #1063459527 in Tyler, Texas

Provider Information

NPI Number
1063459527
Entity Type
Organization
Organization Name
Albertsons LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 1, 2006
Last Updated
Dec 3, 2010

Practice Location

Address
1900 E SE LOOP 323
City
Tyler
State
Texas
ZIP Code
75701-8337
Phone
(903) 597-8081

Authorized Official

Name
DAN JOHNSON
Title
MANAGER MANAGED HEALTHCARE
Phone
(208) 395-3436

Specialties & Taxonomy Codes

Specialty
Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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