Albertsons LLC
Organization Active NPI Community/Retail Pharmacy · Orlando, FL
NPI 1427095975 · NPPES record last updated Dec 30, 2008
Key facts
- NPI
- 1427095975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH0016589 (FL)
- Legal business name
- ALBERTSONS LLC
- Practice address
- 12981 S Orange Blossom TRL
Orlando, FL 32837-6592 - Phone
- (407) 857-5807
- Fax
- (407) 857-0854
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Julie Schreiner
- Title
- Manager Plan Implementation
- Phone
- (847) 916-4711
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Albertsons 851
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH0016589 | FL | Yes |
Addresses
Primary practice location
12981 S Orange Blossom TRL
Orlando, FL 32837-6592
Mailing address
3030 Cullerton St
Franklin Park, IL 60131-2205
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031521400 | Medicaid | FL | |
| 1086102 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- SAVON PHARMACY
Other providers in Orlando, FL
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All providers in Orlando, 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 Dec 30, 2008. 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.