NPI 1275589277 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Oregon City, OR. National Provider Identifier 1275589277, active.
NPI record
| NPI | 1275589277 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 19007 Beavercreek Rd, Oregon City, OR 97045 |
| Practice phone | 503-657-3191 |
| 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 | Savon Pharmacy; Sav-On Pharmacy #0571 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | RP-0001110 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.