NPI 1114964889

Albertsons LLC

Organisation Community/Retail Pharmacy Lady Lake, FL

Practice location

Address: 1566 Bella Cruz Dr, Lady Lake, FL 32159-8969
Phone: (352) 753-9405
Fax: (352) 753-9410

Authorised official

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

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PH17566 (FL)

Other Pharmacy providers in Florida →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1114964889
Entity type: Organization
NPI issued: 1 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.