NPI 1760438782 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in University Place, WA. National Provider Identifier 1760438782, active.
NPI record
| NPI | 1760438782 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 3905 Bridgeport Way W, University Place, WA 98466 |
| Practice phone | 253-565-7997 |
| Mailing address | 250 E Parkcenter Blvd, Quarry B Bldg, Boise, ID 83706 |
| Enumerated | May 25, 2006 |
| Last updated | August 8, 2013 |
| Authorized official | Diona Townsend, Asst Manager Plan Implementation |
| Other names | Savon Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PHAR.CF.60342691 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.