Organization · Type 2 NPI

Albertsons LLC

Community/Retail Pharmacy · San Dimas, CA

NPI number 1194771584 Active

Practice location

220 E Bonita Ave
San Dimas, CA 91773-3186

Call (909) 599-8874 Map

Fax (909) 599-8843

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	PHY51358 (CA)

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 …

3 other providers at this address

Other community/retail pharmacy providers in San Dimas

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NPI record

NPI: 1194771584
Entity type: Organization (Type 2)
Issued: May 26, 2006
Last updated: Apr 3, 2020
Status: Active

Other names

<unavail>
Sav-On Pharmacy #0594 · doing business as
Sav-On Pharmacy #0594 · doing business as

Authorized official

Kathy Giannakopoulos
Enrollment Manager
(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 1194771584

Albertsons LLC's National Provider Identifier is 1194771584, issued on May 26, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in San Dimas, CA. The record was last updated on Apr 3, 2020.