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ALBERTSONS LLC NPI 1659739662


NPI Information

NPI: 1659739662
Provider Name: ALBERTSONS LLC

Doing Business As: SAV-ON PHARMACY 3106

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 50D2111876

Address:
11012 CANYON RD E
PUYALLUP, WA
ZIP 98373
Phone: (253) 537-1517
Get Directions

ALBERTSONS LLC is a pharmacy in Puyallup, WA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ALBERTSONS LLC NPI is 1659739662. The provider is registered as an organization entity type.
The provider Is Doing Business As Sav-on Pharmacy 3106.

The provider's business location address is:

11012 CANYON RD E
PUYALLUP, WA
ZIP 98373-200
Phone: (253) 537-1517
Fax: (253) 539-3654

The provider's authorized official is Kathy Giannakopoulos .
The authorized official title is Enrollment Manager and has the following contact phone number (208) 395-3954.

The CLIA number assigned to this NPI record is 50D2111876 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2016 and was last updated on 4/3/2020.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyPHAR.CF.60629623WASHINGTONYes

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
12158031OTHERPK
22061558MEDICAIDWASHINGTON

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: 4/28/2024

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