Savon Pharmacy

LBN: Albertsons Llc
Savon Pharmacy is an health care organization with primary practice located at 4650 Sw Loop 820 , Fort Worth TX 76109-4429. 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 (817) 738-3491, or through Johnson, Dan via phone (208) 395-3436.

Contact Information

Primary practice address
4650 Sw Loop 820 Fort Worth TX 76109-4429
Fax: (817) 732-1485
Website:
Authorized official contact:
Name: Johnson, Dan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 13846 Texas

Profile Details

NPI number 1225075773
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 Nov 25th, 2009 - about 15 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 1225075773 NPPES
Other 4582450 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 463243 NCPDP PROVIDER IDENTIFICATION NUMBER

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