Albertsons LLC

Practice location

Address

590 E 17th St, Idaho Falls, ID 83404

Phone

(208) 523-1090

Fax

(208) 528-8681

Mailing address

250 E Parkcenter Blvd, Boise, ID 83706-3940

Authorised official

Name

Kathy Giannakopoulos

Title

Enrollment Manager

Phone

(208) 395-3954

Registered specialties (3)

Registry record

NPI

1023064946

Entity type

Organization

NPI issued

25 May 2006

Record last updated

2 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.