NPI 1750825121
Albertsons LLC
Practice location
- Address
- 132 E Lake St, McCall, ID 83638-3811
- Phone
- (208) 634-2433
- Fax
- (208) 634-2433
- 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
- 1750825121
- Entity type
- Organization
- NPI issued
- 5 Dec 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.