Whalio Doctors

NPI 1174579601

Albertsons LLC

Organisation Community/Retail Pharmacy Bozeman, MT

Practice location

Address
200 S 23rd Ave, Bozeman, MT 59718-3965
Phone
(406) 587-8800
Fax
(406) 587-8122
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 PHA-PHR-LIC-14980 (MT)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1174579601
Entity type
Organization
NPI issued
26 May 2006
Record last updated
1 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.