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Albertsons LLC

Organization Active NPI Community/Retail Pharmacy · Mercer Island, WA

NPI 1114973732 · NPPES record last updated May 7, 2015

Key facts

NPI
1114973732
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PHAR.CF.60342578 (WA)
Legal business name
ALBERTSONS LLC
Practice address
2755 77TH Ave SE
Mercer Island, WA 98040-2811
Phone
(206) 232-2222
Fax
(206) 232-6485
NPI assigned
May 25, 2006
Organization subpart
No

Authorized official

Name
Lorenzo Torres
Title
Sr Dept Specialist
Phone
(847) 916-4463

Member of 7

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Locations

2755 77th Ave SE
Mercer Island, WA 98040
Phone (206) 232-2222

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHAR.CF.60342578 WA Yes

Addresses

Primary practice location

2755 77TH Ave SE
Mercer Island, WA 98040-2811

Mailing address

250 E Parkcenter Blvd
Quarry B BLDG
Boise, ID 83706-3940
Phone (208) 395-3436

Other identifiers

IdentifierTypeStateIssuer
2110622OtherPK
6022727MedicaidWA

Other names

  • SAVON PHARMACY Doing business as

Other providers in Mercer Island, WA

All providers in Mercer Island, WA · Community/Retail Pharmacy in Washington

Sources for this page

Verify at the official NPI Registry.