NPI 1104864537

Albertsons LLC

Organisation Community/Retail Pharmacy Cheyenne, WY

Practice location

Address: 3355 E Pershing Blvd, Cheyenne, WY 82001-5764
Phone: (307) 635-1155
Fax: (307) 632-5657

Authorised official

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

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 5203384 (WY)

Other Pharmacy providers in Wyoming →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1104864537
Entity type: Organization
NPI issued: 4 Jun 2006
Record last updated: 21 Nov 2007

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.