Albertsons LLC
Organization Active NPI Community/Retail Pharmacy · Lady Lake, FL
NPI 1114964889 · NPPES record last updated Nov 21, 2007
Key facts
- NPI
- 1114964889
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH17566 (FL)
- Legal business name
- ALBERTSONS LLC
- Practice address
- 1566 Bella Cruz Dr
Lady Lake, FL 32159-8969 - Phone
- (352) 753-9405
- Fax
- (352) 753-9410
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Lorenzo Torres
- Title
- New Store Enrollments
- Phone
- (847) 916-4463
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Albertsons 851
Locations
1566 Bella Cruz Dr
The Villages, FL 32159
Phone (352) 561-7234
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH17566 | FL | Yes |
Addresses
Primary practice location
1566 Bella Cruz Dr
Lady Lake, FL 32159-8969
Mailing address
1566 Bella Cruz Dr
Lady Lake, FL 32159-8969
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1090682 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 1090682 | Other | OTHER ID NUMBER |
Other names
- SAVON PHARMACY
Other providers in Lady Lake, FL
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- Amarah Ahmed
- Erika Charrell Albertie-Young
- Monica Elizabeth Alexander
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- All Coast Therapy Services, Inc.
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All providers in Lady Lake, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.