<Unavail>

LBN: Albertsons Llc
<Unavail> is an health care organization with primary practice located at 490 N 2Nd E , Rexburg ID 83440. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Albertsons Llc can be contacted via phone (208) 542-2088, or through Giannakopoulos, Kathy via phone (208) 395-3954.

Contact Information

Primary practice address
490 N 2Nd E Rexburg ID 83440
Phone: (208) 542-2088
Fax: (208) 542-2089
Website:
Map and Directions
Authorized official contact:
Name: Giannakopoulos, Kathy
Phone: (208) 395-3954

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 21054RP Idaho

Profile Details

NPI number 1891964300
LBN Legal business name Albertsons Llc
DBA Doing business as <Unavail>
Authorized official Giannakopoulos, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2008
Last updated Apr 2nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891964300 NPPES
Idaho MEDICAID 808004500
Idaho Other 2021995

Popular Providers