NPI 1407802879 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Washington, UT. National Provider Identifier 1407802879, active.
NPI record
| NPI | 1407802879 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 915 W Red Cliffs Dr, Washington, UT 84780 |
| Practice phone | 435-628-7430 |
| Mailing address | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Enumerated | May 26, 2006 |
| Last updated | April 3, 2020 |
| Authorized official | Kathy Giannakopoulos, Enrollment Manager |
| Other names | Sav-On Pharmacy #0301 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 8600154-1703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.