Osco Pharmacy #0064

LBN: Albertsons Llc
Osco Pharmacy #0064 is an health care organization with primary practice located at 1865 Coffeen Ave , Sheridan WY 82801-5711. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Albertsons Llc can be contacted via phone (307) 672-8908, or through Eliopulos, Tiffany via phone (208) 395-3906.

Contact Information

Primary practice address
1865 Coffeen Ave Sheridan WY 82801-5711
Phone: (307) 672-8908
Fax: (307) 672-5445
Website:
Map and Directions
Authorized official contact:
Name: Eliopulos, Tiffany
Phone: (208) 395-3906

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X R10148 Wyoming

Profile Details

NPI number 1225212723
LBN Legal business name Albertsons Llc
DBA Doing business as Osco Pharmacy #0064
Authorized official Eliopulos, Tiffany
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2007
Last updated Sep 11th, 2018 - about 6 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 1225212723 NPPES
Other 2111699 PK
MEDICAID 125400600 PK

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