NPI 1255387809 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Las Vegas, NV. National Provider Identifier 1255387809, active.
NPI record
| NPI | 1255387809 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 5500 Boulder Hwy, Las Vegas, NV 89122 |
| Practice phone | 702-435-7339 |
| Mailing address | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Enumerated | May 25, 2006 |
| Last updated | April 3, 2020 |
| Authorized official | Kathy Giannakopoulos, Enrollment Manager |
| Other names | Sav On Pharmacy #1059 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PH02313 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.