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
- City
- Broken Arrow
- State
- Oklahoma
- 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 Pharmacy — Community/Retail Pharmacy |
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