Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Albertsons LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1598702011

Albertsons LLC is a Durable Medical Equipment & Medical Supplies in Lake Charles, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4060 Ryan St
Lake Charles, LA 70605-2841
Phone: (337) 478-9197
Fax: (337) 480-0070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 2660 (LA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1598702011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Giannakopoulos — Enrollment Manager · (208) 395-3954
Other names Albertsons Pharmacy #0717
NPI enumeratedJune 1, 2006
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020
Mailing address250 E Parkcenter Blvd, Boise, ID 83706-3940

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