NPI 1306884499 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Southlake, TX. National Provider Identifier 1306884499, active.
NPI record
| NPI | 1306884499 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 2201 W Slake Blvd, Southlake, TX 76092 |
| Practice phone | 817-421-3430 |
| Mailing address | 3030 Cullerton St, Franklin Park, IL 60131 |
| Enumerated | June 2, 2006 |
| Last updated | December 6, 2010 |
| Authorized official | Dan Johnson, Manager Managed Healthcare |
| Other names | Savon Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 16217 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.