Organization · Type 2 NPI

Albertsons LLC

Community/Retail Pharmacy · Eagle, ID

NPI number 1508307653 Active

Practice location

250 S Eagle Rd
Eagle, ID 83616-5906

Call (208) 939-9850 Map

Fax (208) 939-2721

Mailing address

250 E Parkcenter Blvd, Mailstop SEC2-B
Boise, ID 83706-3940

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

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 …

6 other providers at this address

Other community/retail pharmacy providers in Eagle

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NPI record

NPI: 1508307653
Entity type: Organization (Type 2)
Issued: Mar 9, 2017
Last updated: May 2, 2017
Status: Active
Subpart: Yes of Albertsons Companies LLC

Other names

<unavail>
Sav-On Pharmacy · doing business as

Authorized official

Demond Hawkins
Mgr, Host Admin & Enrollments
(208) 395-3905

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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 1508307653

Albertsons LLC's National Provider Identifier is 1508307653, issued on Mar 9, 2017. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Eagle, ID. The record was last updated on May 2, 2017.