Organization · Type 2 NPI

Albertsons LLC

Community/Retail Pharmacy · South Gate, CA

NPI number 1689620239 Active

Practice location

4155 Tweedy Blvd
South Gate, CA 90280

Call (323) 569-0744 Map

Fax (323) 569-3469

Mailing address

250 E Parkcenter Blvd, Mailstop SEC2-B
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	PHY51409 (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 …

2 other providers at this address

Other community/retail pharmacy providers in South Gate

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NPI record

NPI: 1689620239
Entity type: Organization (Type 2)
Issued: May 25, 2006
Last updated: Sep 12, 2018
Status: Active

Other names

<unavail>
Sav-On Pharmacy #0142 · doing business as
Sav-On Pharmacy #0142 · doing business as

Authorized official

Tiffany Eliopulos
Assistant Manager, Enrollments
(208) 395-3906

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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 1689620239

Albertsons LLC's National Provider Identifier is 1689620239, issued on May 25, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in South Gate, CA. The record was last updated on Sep 12, 2018.