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NPI 1982642344 · live from the CMS NPI Registry

Albertsons LLC

Pharmacy, Community/Retail Pharmacy in Garland, TX. National Provider Identifier 1982642344, active.

NPI record

NPI1982642344 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location3046 Lavon Dr, Suite 129, Garland, TX 75040
Practice phone972-414-8028
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—
Durable Medical Equipment & Medical Supplies332B00000X—
Pharmacy, Community/Retail Pharmacy primary3336C0003X14829 (TX)

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