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:
Map and Directions
Authorized official contact:
Name: Giannakopoulos, Kathy
Phone: (208) 395-3954

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073551214 NPPES
Idaho MEDICAID 807494200
Idaho Other 2021613
Idaho MEDICAID 805229700

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