OrganizationActive
Albertsons LLC
NPI 1891057634 · Community/Retail Pharmacy · Missoula, MT
Provider details
- NPI number
- 1891057634
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kathy Giannakopoulos, Enrollment Manager(208) 395-3954
Specialties & taxonomies
Suppliers
- Community/Behavioral Health Agency251S00000X
Agencies
- Home Modifications Contractor171WH0202X
Other Service Providers
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
1003 E Broadway St
Missoula, MT 59802-4971
Phone: (406) 549-6163
Fax: (406) 549-1786
Approximate (ZIP-level) locationGet directions
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other names (DBA / former)
- Doing business as
- Osco Pharmacy #0024
Registry dates
- Enumerated
- 2012-06-07
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.