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ALBERTSONS LLC NPI 1063459527


NPI Information

NPI: 1063459527
Provider Name: ALBERTSONS LLC

Doing Business As: SAVON PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1900 E SE LOOP 323
TYLER, TX
ZIP 75701
Phone: (903) 597-8081
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ALBERTSONS LLC is a community/retail pharmacy pharmacy in Tyler, TX. The provider is 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. ALBERTSONS LLC NPI is 1063459527. The provider is registered as an organization entity type.
The provider Is Doing Business As Savon Pharmacy.

The provider's business location address is:

1900 E SE LOOP 323
TYLER, TX
ZIP 75701-337
Phone: (903) 597-8081
Fax: (903) 597-6296

The provider's authorized official is Dan Johnson .
The authorized official title is Manager Managed Healthcare and has the following contact phone number (208) 395-3436.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 12/3/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail Pharmacy13081TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10483390130MEDICARE NSC
24578095OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
3462975MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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