NPI 1457880940
Albertsons LLC
Practice location
- Address
- 1219 S Broadway Ave, Boise, ID 83706
- Phone
- (208) 433-9905
- Fax
- (208) 433-9907
- Mailing address
- 250 E Parkcenter Blvd, Boise, ID 83706-3940
Authorised official
- Name
- Tiffany Eliopulos
- Title
- Asst Mgr, Pharmacy Enrollments
- Phone
- (208) 395-3906
Registered specialties (2)
Registered Dietitian
Primary
Community/Retail Pharmacy
Registry record
- NPI
- 1457880940
- Entity type
- Organization
- NPI issued
- 8 Jun 2017
- Record last updated
- 10 Aug 2018
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.