NPI 1336801257 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Elko, NV. National Provider Identifier 1336801257, active.
NPI record
| NPI | 1336801257 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 2582 Idaho St, Elko, NV 89801 |
| Practice phone | 208-395-6200 |
| Mailing address | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Enumerated | October 7, 2021 |
| Last updated | October 7, 2021 |
| Authorized official | Kathy Giannakopoulos, Enrollments Manager |
| Other names | Albertsons Pharmacy # 0155 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| 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.