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NPI 1477591899 · live from the CMS NPI Registry

Albertsons LLC

Pharmacy, Community/Retail Pharmacy in Benbrook, TX. National Provider Identifier 1477591899, active.

NPI record

NPI1477591899 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location8510 Highway 377 S, Benbrook, TX 76126
Practice phone817-249-6668
Mailing address3030 Cullerton St, Franklin Park, IL 60131
EnumeratedJune 4, 2006
Last updatedDecember 3, 2010
Authorized officialDan Johnson, Manager Managed Healthcare
Other namesSavon Pharmacy

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy333600000X—
Pharmacy, Community/Retail Pharmacy primary3336C0003X17513 (TX)
Durable Medical Equipment & Medical Supplies332B00000X—

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