NPI 1073235222 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Powell, WY. National Provider Identifier 1073235222, active.
NPI record
| NPI | 1073235222 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1005 W Coulter Ave, Powell, WY 82435 |
| Practice phone | 307-271-3160 |
| Mailing address | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Enumerated | September 14, 2022 |
| Last updated | February 13, 2023 |
| Authorized official | Kathy Giannakopoulos, Enrollments Manager |
| Other names | Albertsons Pharmacy #3435 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.