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NPI 1417994963 · live from the CMS NPI Registry

Albertsons LLC

Pharmacy, Community/Retail Pharmacy in Bonita Springs, FL. National Provider Identifier 1417994963, active.

NPI record

NPI1417994963 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location11611 Bonita Beach Rd Se, Bonita Springs, FL 34135
Practice phone239-949-4327
Mailing address3030 Cullerton St, Franklin Park, IL 60131
EnumeratedJune 1, 2006
Last updatedDecember 30, 2008
Authorized officialJulie Schreiner, Manager Plan Implementation
Other namesSavon Pharmacy

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy333600000X—
Durable Medical Equipment & Medical Supplies332B00000X—
Pharmacy, Community/Retail Pharmacy primary3336C0003XPH18666 (FL)

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