Albertsons Pharmacy #3204
LBN: Albertsons Llc
Albertsons Pharmacy #3204 is an health care organization with primary practice located at 1980 Mcculloch Blvd N , Lake Havasu City AZ 86403-0969. 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 (928) 854-8281, or through Giannakopoulos, Kathy via phone (208) 395-3954.
Contact Information
Primary practice address
1980 Mcculloch Blvd N
Lake Havasu City AZ 86403-0969
Phone: (928) 854-8281
Fax: (928) 453-3969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y006761 | Arizona |
Profile Details
| NPI number | 1346605185 |
|---|---|
| LBN Legal business name | Albertsons Llc |
| DBA Doing business as | Albertsons Pharmacy #3204 |
| Authorized official | Giannakopoulos, Kathy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2015 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346605185 | NPPES |
| Arizona | MEDICAID | 126104 | |
| Arizona | Other | 2157266 |
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