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NPI 1992742423 · live from the CMS NPI Registry

Albertsons LLC

Pharmacy, Community/Retail Pharmacy in Bradenton, FL. National Provider Identifier 1992742423, active.

NPI record

NPI1992742423 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location7415 Manatee Ave W, Bradenton, FL 34209
Practice phone941-794-3060
Mailing address3030 Cullerton St, Franklin Park, IL 60131
EnumeratedJune 1, 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 primary3336C0003X7964 (FL)

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