NPI 1194771600
Albertsons LLC
Practice location
- Address
- 161 W Prairie Ave, Hayden, ID 83835
- Phone
- (208) 772-7864
- Fax
- (208) 772-7905
- 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
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1194771600
- Entity type
- Organization
- NPI issued
- 26 May 2006
- Record last updated
- 4 Apr 2024
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.