Whalio Doctors

NPI 1114973039

Albertsons LLC

Organisation Community/Retail Pharmacy Nampa, ID

Practice location

Address
715 12th Ave S, Nampa, ID 83651-4254
Phone
(208) 466-3592
Fax
(208) 463-1392
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)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 21062RP (ID)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1114973039
Entity type
Organization
NPI issued
25 May 2006
Record last updated
3 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.