Osco Drug #1002

LBN: Albertsons Llc
Osco Drug #1002 is an health care organization with primary practice located at 9243 E Baseline Rd , Mesa AZ 85209-8308. 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 (480) 986-4660, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
9243 E Baseline Rd Mesa AZ 85209-8308
Fax: (480) 986-4697
Website:
Authorized official contact:
Name: Giannakopoulos, Kathy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y04593 Arizona

Profile Details

NPI number 1073553442
LBN Legal business name Albertsons Llc
DBA Doing business as Osco Drug #1002
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 3rd, 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 1073553442 NPPES
Other 1991061 PK
MEDICAID 099633 PK

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