Whalio Doctors

NPI 1558318915

Albertsons LLC

Organisation Community/Retail Pharmacy Jackson, WY

Practice location

Address
105 Buffalo Way, Jackson, WY 83001
Phone
(307) 733-9223
Fax
(307) 734-4481
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 R10101 (WY)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1558318915
Entity type
Organization
NPI issued
30 May 2006
Record last updated
2 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.