Albertsons LLC

Organization Active NPI Community/Retail Pharmacy · Deltona, FL

NPI 1851338529 · NPPES record last updated Nov 21, 2007

Key facts

NPI
1851338529
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PH14152 (FL)
Legal business name
ALBERTSONS LLC
Practice address
2100 Saxon Blvd
Deltona, FL 32725-3251
Phone
(386) 789-0030
Fax
(386) 789-0706
NPI assigned
Jun 1, 2006
Organization subpart
No

Authorized official

Name
Lorenzo Torres
Title
New Store Enrollments
Phone
(847) 916-4463

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

2100 Saxon Blvd
Deltona, FL 32725
Phone (386) 532-6388

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH14152 FL Yes

Addresses

Primary practice location

2100 Saxon Blvd
Deltona, FL 32725-3251

Mailing address

2100 Saxon Blvd
Deltona, FL 32725-3251

Other identifiers

IdentifierTypeStateIssuer
1078193OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1078193OtherOTHER ID NUMBER

Other names

  • SAVON PHARMACY Doing business as

Other providers in Deltona, FL

All providers in Deltona, FL · Community/Retail Pharmacy in Florida

Sources for this page

Verify at the official NPI Registry.