ALBERTSONS LLC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

ALBERTSONS LLC

1024 21ST ST
LEWISTON, ID 83501

Phone: 208-743-1529
Fax: 208-746-3323
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
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for ALBERTSONS LLC

NPI # 1750337267

LBN Legal business name ALBERTSONS LLC

Authorized official KATHY GIANNAKOPOULOS - (ENROLLMENT MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/26/2006

Last updated 04/03/2020 - About 6 years ago

Identifiers

ID	License #	21047RP
ID	Medicaid	002257000
ID	Medicaid	807493800
	Other	2020577	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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