Albertsons Pharmacy #0199
LBN: Albertsons Llc
Albertsons Pharmacy #0199 is an health care organization with primary practice located at 1219 S Broadway Ave , Boise ID 83706. 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 (208) 433-9905, or through Giannakopoulos, Kathy via phone (208) 395-3954.
Contact Information
Primary practice address
1219 S Broadway Ave
Boise ID 83706
Phone: (208) 433-9905
Fax: (208) 433-9907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 21064RP | Idaho |
Profile Details
| NPI number | 1073551214 |
|---|---|
| LBN Legal business name | Albertsons Llc |
| DBA Doing business as | Albertsons Pharmacy #0199 |
| Authorized official | Giannakopoulos, Kathy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Apr 2nd, 2020 - about 4 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 | 1073551214 | NPPES |
| Idaho | MEDICAID | 807494200 | |
| Idaho | Other | 2021613 | |
| Idaho | MEDICAID | 805229700 |
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