NPI 1962686410 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Cody, WY. National Provider Identifier 1962686410, active.
NPI record
| NPI | 1962686410 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1825 17th St, Cody, WY 82414 |
| Practice phone | 307-527-7426 |
| Mailing address | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Enumerated | December 19, 2007 |
| Last updated | April 3, 2020 |
| Authorized official | Kathy Giannakopoulos, Enrollment Manager |
| Other names | Osco Pharmacy #2061 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | R10096 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.