NPI 1215976691 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Casa Grande, AZ. National Provider Identifier 1215976691, active.
NPI record
| NPI | 1215976691 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1116 E Florence Blvd, Casa Grande, AZ 85122 |
| Practice phone | 520-421-9920 |
| Mailing address | 3030 Cullerton St, Franklin Park, IL 60131 |
| Enumerated | June 4, 2006 |
| Last updated | December 3, 2010 |
| Authorized official | Dan Johnson, Manager Managed Healthcare |
| Other names | Osco Drug |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | Y04570 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.