NPI 1407894595 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Mount Dora, FL. National Provider Identifier 1407894595, active.
NPI record
| NPI | 1407894595 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 16880 Us Highway 441, Mount Dora, FL 32757 |
| Practice phone | 352-383-0600 |
| Mailing address | 3030 Cullerton St, Franklin Park, IL 60131 |
| Enumerated | June 2, 2006 |
| Last updated | December 3, 2010 |
| Authorized official | Dan Johnson, Manager Managed Healthcare |
| Other names | Savon Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 10428 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.