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
1	333600000X	Pharmacy	16781	TX
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4596396	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1851338305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERTSONS LLC

Provider Business Mailing Address
First Line	:	850 N BELL BLVD
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-2242
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 N BELL BLVD
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-2242
Country	:	US
Telephone Number	:	512-335-2276
Fax Number	:	512-335-2338

Authorized Official
Title or Position	:	NEW STORE ENROLLMENTS
Name	:	MR. LORENZO TORRES III
Credential	:
Telephone Number	:	847-916-4463

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	12/15/2009

Similar Medicare Providers

1720677917 — DR. KEVIN BROWN PHARMD
Practice Location Address:

790 N CEDAR BLUFF RD APT 716
KNOXVILLE, TN
37923-2242

Practice Phone: 865-405-8904
Practice Fax:

1982377883 — SAVANNAH ALDRIDGE
Practice Location Address:

2242 CEDAR ROCK CIR
LENOIR, NC
28645-9128

Practice Phone: 828-292-6004
Practice Fax:

1134864580 — ISABELLA ANDREA MARIAN
Practice Location Address:

790 N CEDAR BLUFF RD APT 721
KNOXVILLE, TN
37923-2242

Practice Phone: 540-270-9194
Practice Fax:

1003774068 — MALORIE WHITE
Practice Location Address:

297 N COVE DR
CEDAR CITY, UT
84720-2242

Practice Phone: 435-572-0754
Practice Fax:

1871574947 — EDGAR MAEYENS MD
Practice Location Address:

375 PARK AVE , SUITE 5
COOS BAY, OR
97420-2242

Practice Phone: 541-267-7543
Practice Fax: 541-267-2076

1851350086 — PACIFIC HOME CARE ASSOCIATES INC.
Practice Location Address:

375 PARK AVE STE 6
COOS BAY, OR
97420-2242

Practice Phone: 541-266-7005
Practice Fax:

Directions to “ALBERTSONS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.