Organization · Type 2 NPI

Albertsons LLC

Community/Retail Pharmacy · Surprise, AZ

NPI number 1114966595 Active

Practice location

14551 W Grand Ave
Surprise, AZ 85374-7100

Call (623) 546-4085 Map

Fax (623) 546-4325

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	Y04578 (AZ)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

4 other providers at this address

Other community/retail pharmacy providers in Surprise

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NPI record

NPI: 1114966595
Entity type: Organization (Type 2)
Issued: Jun 4, 2006
Last updated: Apr 3, 2020
Status: Active

Other names

<unavail>
Osco Drug · doing business as
Osco Drug · doing business as
Osco Drug #0977 · doing business as

Authorized official

Kathy Giannakopoulos
Enrollment Manger
(208) 395-3954

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114966595

Albertsons LLC's National Provider Identifier is 1114966595, issued on Jun 4, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Surprise, AZ. The record was last updated on Apr 3, 2020.