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Albertsons LLC — NPI 1154360535, Lafayette, LA | NPI Central

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OrganizationActive

Albertsons LLC

NPI 1154360535 · Community/Retail Pharmacy · Lafayette, LA

Provider details

NPI number: 1154360535
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 PHY.004508-RC (LA)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

2863 Ambassador Caffery Pkwy

Lafayette, LA 70506-5905

Phone: (337) 406-8806

Fax: (337) 406-2051

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

250 E Parkcenter Blvd

Boise, ID 83706-3940

Other names (DBA / former)

Doing business as: Albertsons Pharmacy #0775

Registry dates

Enumerated: 2006-06-04
Last updated: 2025-06-18
Certified: 2025-06-18

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