NPI 1760438311 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Lake Oswego, OR. National Provider Identifier 1760438311, active.
NPI record
| NPI | 1760438311 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 11 S State St, Lake Oswego, OR 97034 |
| Practice phone | 503-534-2883 |
| Mailing address | 250 E Parkcenter Blvd, Quarry B Bldg, Boise, ID 83706 |
| Enumerated | May 25, 2006 |
| Last updated | July 19, 2013 |
| Authorized official | Diona Townsend, Asst Manager Plan Implementation |
| Other names | Savon Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | RP-0001856 (OR) |
| Pharmacy | 333600000X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.