Sav-On Pharmacy #0154

LBN: Albertsons Llc
Sav-On Pharmacy #0154 is an health care organization with primary practice located at 1520 N Cole Rd , Boise ID 83704. 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) 375-8386, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
1520 N Cole Rd Boise ID 83704
Fax: (208) 322-7374
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 21066RP Idaho

Profile Details

NPI number 1104872027
LBN Legal business name Albertsons Llc
DBA Doing business as Sav-On Pharmacy #0154
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 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 1104872027 NPPES
Other 2020849 PK
MEDICAID 002255700 PK
MEDICAID 807493500 PK

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