Osco Pharmacy #0065
LBN: Albertsons Llc
Osco Pharmacy #0065 is an health care organization with primary practice located at 3355 E Pershing Blvd , Cheyenne WY 82001-5764. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Albertsons Llc can be contacted via phone (307) 635-1155, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
3355 E Pershing Blvd
Cheyenne WY 82001-5764
Phone: (307) 635-1155
Fax: (307) 632-5657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | R10123 | Wyoming |
Profile Details
| NPI number | 1043494545 |
|---|---|
| LBN Legal business name | Albertsons Llc |
| DBA Doing business as | Osco Pharmacy #0065 |
| Authorized official | Eliopulos, Tiffany |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 20th, 2007 |
| Last updated | Sep 11th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043494545 | NPPES |
| Wyoming | MEDICAID | 125401400 | |
| Wyoming | Other | 2111698 |
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