Albertsons LLC

NPI #1114964665 in Laramie, Wyoming

Provider Information

NPI Number
1114964665
Entity Type
Organization
Organization Name
Albertsons LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 1, 2006
Last Updated
Nov 21, 2007

Practice Location

Address
3112 E GRAND AVE
State
Wyoming
ZIP Code
82070-5141
Phone
(307) 745-7246

Authorized Official

Name
LORENZO TORRES
Title
NEW STORE ENROLLMENTS
Phone
(847) 916-4463

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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