Albertsons LLC

NPI #1417994849 in Broken Arrow, Oklahoma

Provider Information

NPI Number
1417994849
Entity Type
Organization
Organization Name
Albertsons LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 2, 2006
Last Updated
Dec 17, 2009

Practice Location

Address
2420 E KENOSHA ST
ZIP Code
74014-6718
Phone
(918) 355-8100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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