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Contact Information

ALBERTSONS LLC
2625 E 2ND ST
CASPER, WY82609-2045
 Phone: 307-234-7159
 Fax: 307-237-0971
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ALBERTSONS LLC

NPI # 1235313735
LBN Legal business name ALBERTSONS LLC
Authorized official KATHY GIANNAKOPOULOS - (ENROLLMENT MANGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2007
Last updated 04/01/2020 - About 6 years ago
Identifiers
WY License # R10150
WY Medicaid 125397200
Other 2111701 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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