Albertsons LLC

Organization Active NPI Community/Retail Pharmacy · Longmont, CO

NPI 1366489031 · NPPES record last updated Dec 30, 2008

Key facts

NPI
1366489031
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
800000002 (CO)
Legal business name
ALBERTSONS LLC
Practice address
1750 N Main St
Longmont, CO 80501-2036
Phone
(303) 776-2168
Fax
(303) 774-7798
NPI assigned
Jun 1, 2006
Organization subpart
No

Authorized official

Name
Julie Schreiner
Title
Manager Plan Implementation
Phone
(847) 916-4711

Member of 3

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

National Provider Directory

Locations

1750 Main St
Longmont, CO 80501
Phone (303) 776-2168

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 800000002 CO Yes

Addresses

Primary practice location

1750 N Main St
Longmont, CO 80501-2036

Mailing address

3030 Cullerton St
Franklin Park, IL 60131-2205

Other identifiers

IdentifierTypeStateIssuer
0612336OtherNCPDP PROVIDER IDENTIFICATION NUMBER
65829328MedicaidCO

Other names

  • SAVON PHARMACY Doing business as

Other providers in Longmont, CO

All providers in Longmont, CO · Community/Retail Pharmacy in Colorado

Sources for this page

Verify at the official NPI Registry.