Albertsons LLC
Organization Active NPI Community/Retail Pharmacy · Coppell, TX
NPI 1790723153 · NPPES record last updated Nov 21, 2007
Key facts
- NPI
- 1790723153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 14826 (TX)
- Legal business name
- ALBERTSONS LLC
- Practice address
- 110 W Sandy Lake Rd
Coppell, TX 75019-2015 - Phone
- (972) 462-7260
- Fax
- (972) 393-0037
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Lorenzo Torres
- Title
- New Store Enrollments
- Phone
- (847) 916-4463
Member of 3
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 14826 | TX | Yes |
Addresses
Primary practice location
110 W Sandy Lake Rd
Coppell, TX 75019-2015
Mailing address
110 W Sandy Lake Rd
Coppell, TX 75019-2015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463368 | Medicaid | TX | |
| 4585127 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 4585127 | Other | OTHER ID NUMBER |
Other names
- SAVON PHARMACY
Other providers in Coppell, TX
- Aim Behavior Consultants
- Aizis PLLC
- Princy Ajesh
- Ethan Nathaniel Akins
- Samiha Alam
- Danya Aldhahir
- Monsur Ali
- Elizabeth Elaine Allen
- Brielle Maranne Almendariz
- Alpha Medicine & Rehab, PLLC
All providers in Coppell, TX · Community/Retail Pharmacy in Texas
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.