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NPI 1336186006 · live from the CMS NPI Registry

Albertsons LLC

Pharmacy, Community/Retail Pharmacy in Gainesville, FL. National Provider Identifier 1336186006, active.

NPI record

NPI1336186006 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location2323 Nw 13th St, Gainesville, FL 32609
Practice phone352-377-5400
Mailing address3030 Cullerton St, Franklin Park, IL 60131
EnumeratedJune 1, 2006
Last updatedDecember 3, 2010
Authorized officialDan Johnson, Manager Managed Healthcare
Other namesSavon Pharmacy

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy333600000X—
Durable Medical Equipment & Medical Supplies332B00000X—
Pharmacy, Community/Retail Pharmacy primary3336C0003X6459 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.