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Contact Information

ALBERTSONS LLC
989 N WALNUT CREEK DR
MANSFIELD, TX76063-8024
 Phone: 817-453-0178
 Fax: 817-453-0358
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ALBERTSONS LLC

NPI Number 1407893837
LBN Legal business name ALBERTSONS LLC
Authorized official LORENZO TORRES - (NEW STORE ENROLLMENTS)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
TX License # 18347
Other 4502882 OTHER ID NUMBER-COMMERCIAL NUMBER
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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