NPI 1316462393 · live from the CMS NPI Registry
Albertsons Companies LLC
Pharmacy, Community/Retail Pharmacy in Boise, ID. National Provider Identifier 1316462393, active.
NPI record
| NPI | 1316462393 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Practice phone | 208-395-3963 |
| Enumerated | August 10, 2017 |
| Last updated | July 21, 2022 |
| Authorized official | Lorenzo Torres, Pharmacy Enrollment Specialist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.