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

Albertsons LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1689620239

Albertsons LLC is a Durable Medical Equipment & Medical Supplies in South Gate, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
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

4155 Tweedy Blvd
South Gate, CA 90280
Phone: (323) 569-0744
Fax: (323) 569-3469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY51409 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1689620239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Eliopulos — Assistant Manager, Enrollments · (208) 395-3906
Other names Sav-On Pharmacy #0142; Sav-On Pharmacy #0142
NPI enumeratedMay 25, 2006
Last updated in NPPESSeptember 12, 2018
Mailing address250 E Parkcenter Blvd, Mailstop Sec2-B, Boise, ID 83706-3940

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