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NPI Code Detail

MEDICARE: ALBERTSONS LLC

MEDICARE: ALBERTSONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
33336C0003XCommunity/Retail Pharmacy12096FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11068697OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780621458
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALBERTSONS LLC
Provider Business Mailing Address
First Line : 3030 CULLERTON ST
Second Line :
City : FRANKLIN PARK
State : IL
Zip : 60131-2205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2553 E SILVER SPRINGS BLVD
Second Line :
City : OCALA
State : FL
Zip : 34470-7009
Country : US
Telephone Number : 352-867-0303
Fax Number : 352-867-8291
Authorized Official
Title or Position : MANAGER PLAN IMPLEMENTATION
Name : JULIE SCHREINER
Credential :
Telephone Number : 847-916-4711
Provider Enumeration Date : 06/01/2006
Last Update Date : 12/30/2008

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Directions to “ALBERTSONS LLC ” Practice Location

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