Jewel Osco Southwest Llc

LBN: Jewel Osco Southwest Llc
Jewel Osco Southwest Llc is an health care organization with primary practice located at 250 E Parkcenter Blvd , Boise ID 83706-3940. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jewel Osco Southwest Llc can be contacted via phone (208) 395-3963, or through Torres, Lorenzo via phone (208) 395-3963.

Contact Information

Primary practice address
250 E Parkcenter Blvd Boise ID 83706-3940
Phone: (208) 395-3963
Fax: (623) 336-6363
Website:
Map and Directions
Authorized official contact:
Name: Torres, Lorenzo
Phone: (208) 395-3963

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1629169289
LBN Legal business name Jewel Osco Southwest Llc
DBA Doing business as
Authorized official Torres, Lorenzo
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629169289 NPPES
Other P00447103 RAILROAD MEDICARE TPAN

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