OrganizationActive
Albertsons LLC
NPI 1669410817 · Community/Retail Pharmacy · Missoula, MT
Provider details
- NPI number
- 1669410817
- 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
3800 S Russell St
Missoula, MT 59801-8525
Phone: (406) 549-7717
Fax: (406) 549-7659
Approximate (ZIP-level) locationGet directions
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other names (DBA / former)
- Doing business as
- Osco Pharmacy #1010
- Doing business as
- Osco Pharmacy #1010
Registry dates
- Enumerated
- 2006-06-02
- Last updated
- 2020-04-03
- Certified
- 2020-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.