Organization

Albertsons Llc

May also be knows as Albertsons Pharmacy

Community/Retail Pharmacy in Mandeville, LA(View on Map)

Legal Business Name

Albertsons Llc

Also Known As

Albertsons Pharmacy

NPI Number

1225266968

NPI Type

Organization

Enumeration Date

07/01/2009

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X
333600000X

Primary Taxonomy

Yes
No
No

Licenses

State

Louisiana

License Number

PHY.006155-RC

Contact
Information

Purpose

Mailing
Location

Address

3030 CULLERTON ST
3450 HIGHWAY 190

City

Franklin Park
Mandeville

State

IL
LA

Postal Code

60131-2205
70471-3196

Country

US
US

Telephone Number

N/A
(985) 626-0481

Authorized Official

Name

Diona Townsend

Title or Position

ASST MGR PLAN IMPLEMENTATION

Telephone Number

(847) 916-4513

Identifiers

Identifier

2120875
1235199

Identifier State

Unknown
LA

Identifier Issuer

PK
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/11/2014

Provider Address

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