Savon Pharmacy

LBN: Albertsons Llc
Savon Pharmacy is an health care organization with primary practice located at 1900 E Se Loop 323 , Tyler TX 75701-8337. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Albertsons Llc can be contacted via phone (903) 597-8081, or through Johnson, Dan via phone (208) 395-3436.

Contact Information

Primary practice address
1900 E Se Loop 323 Tyler TX 75701-8337
Phone: (903) 597-8081
Fax: (903) 597-6296
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Dan
Phone: (208) 395-3436

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 13081 Texas

Profile Details

NPI number 1063459527
LBN Legal business name Albertsons Llc
DBA Doing business as Savon Pharmacy
Authorized official Johnson, Dan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Dec 3rd, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063459527 NPPES
Other 4578095 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 462975 NCPDP PROVIDER IDENTIFICATION NUMBER

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