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Albertsons LLC — NPI 1013956499, Texarkana, AR | NPI Central

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NPI 1013956499

OrganizationActive

Albertsons LLC

NPI 1013956499 · Community/Retail Pharmacy · Texarkana, AR

Provider details

NPI number: 1013956499
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Kathy Giannakopoulos, Enrollment Manager(208) 395-3954

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense AR17558 (AR)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

3710 N State Line Ave

Texarkana, AR 71854-1934

Phone: (870) 773-5521

Fax: (870) 774-8426

Approximate (ZIP-level) locationGet directions

More AR providers

Mailing address

250 E Parkcenter Blvd

Boise, ID 83706-3940

Other names (DBA / former)

Doing business as: Albertsons Pharmacy #0611

Registry dates

Enumerated: 2006-06-04
Last updated: 2024-08-21
Certified: 2024-08-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.