NPI 1710933106 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Kennewick, WA. National Provider Identifier 1710933106, active.
NPI record
| NPI | 1710933106 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 5204 W Clearwater Ave, Kennewick, WA 99336 |
| Practice phone | 509-735-8311 |
| Mailing address | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Enumerated | May 26, 2006 |
| Last updated | November 21, 2022 |
| Authorized official | Kathy Giannakopoulos, Enrollment Manager |
| Other names | Safeway Pharmacy #3253 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PHAR.CF.60342930 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.