NPI 1457096182 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Ontario, OR. National Provider Identifier 1457096182, active.
NPI record
| NPI | 1457096182 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1410 Westpark Plz, Ontario, OR 97914 |
| Practice phone | 541-889-9125 |
| Mailing address | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Enumerated | April 27, 2022 |
| Last updated | May 30, 2022 |
| Authorized official | Kathy Giannakopoulos, Enrollments Manager |
| Other names | Albertsons Pharmacy #0131 |
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.