ALBERTSONS LLC NPI 1962711770

NPI Information

  • NPI: 1962711770
  • Provider Name: ALBERTSONS LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • CLIA Number: 32D1033587
  • Address: 808 N CANAL ST
    CARLSBAD, NM
    ZIP 88220
  • Phone: (575) 887-5085

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NPI Details

ALBERTSONS LLC is a pharmacy in Carlsbad, NM. 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 1962711770. The provider is registered as an organization entity type.

The provider's business location address is:

808 N CANAL ST
CARLSBAD, NM
ZIP 88220-418
Phone: (575) 887-5085

The provider's authorized official is Srikanth Ponnada .
The authorized official title is Staff-pharmacist and has the following contact phone number (541) 314-3271.

The CLIA number assigned to this NPI record is 32D1033587 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2010 and was last updated on 9/28/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyRP00007444NEW MEXICOYes

What is NPI?

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This page was last updated on: 3/30/2025

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