NPI 1124473954

Albertsons LLC

Organisation Community/Retail Pharmacy Grants Pass, OR

Practice location

Address: 1690 SW Allen Creek Rd, Grants Pass, OR 97527-5559
Phone: (541) 471-7085
Fax: (541) 471-9047
Mailing address: 250 E Parkcenter Blvd, Boise, ID 83706-3940

Authorised official

Name: Kathy Giannakopoulos
Title: Enrollment Manager
Phone: (208) 395-3954

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence RP-0002020 (OR)

Other Pharmacy providers in Oregon →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1124473954
Entity type: Organization
NPI issued: 29 Apr 2016
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.