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Albertsons LLC

Organization Active NPI Community/Retail Pharmacy · Pembroke Pines, FL

NPI 1174560601 · NPPES record last updated Nov 25, 2009

Key facts

NPI
1174560601
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
9385 (FL)
Legal business name
ALBERTSONS LLC
Practice address
8030 Pines Blvd
Pembroke Pines, FL 33024-6708
Phone
(954) 435-8020
Fax
(954) 435-1309
NPI assigned
Jun 1, 2006
Organization subpart
No

Authorized official

Name
Dan Johnson
Title
Manager Managed Healthcare
Phone
(208) 395-3436

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Albertsons 851 (386 organizations share this tax ID)

Locations

8030 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 435-8020

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 9385 FL Yes

Addresses

Primary practice location

8030 Pines Blvd
Pembroke Pines, FL 33024-6708

Mailing address

3030 Cullerton St
Franklin Park, IL 60131-2205

Other identifiers

IdentifierTypeStateIssuer
1054232OtherNCPDP PROVIDER IDENTIFICATION NUMBER
031469200MedicaidFL

Other names

  • SAVON PHARMACY Doing business as

Other providers in Pembroke Pines, FL

All providers in Pembroke Pines, FL · Community/Retail Pharmacy in Florida

Sources for this page

Verify at the official NPI Registry.