OrganizationActive
Albertsons LLC
NPI 1245279629 · Community/Retail Pharmacy · Broussard, LA
Provider details
- NPI number
- 1245279629
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kathy Giannakopoulos, Enrollment Manager(208) 395-3954
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
1210 Albertson Pkwy
Broussard, LA 70518-4347
Phone: (337) 839-0530
Fax: (337) 839-1432
Approximate (ZIP-level) locationGet directions
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other names (DBA / former)
- Doing business as
- Albertsons Pharmacy #2756
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.