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

Albertsons LLC

Organization Home Modifications Contractor · NPI 1891057634

Albertsons LLC is a Home Modifications Contractor in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2012.

Licensed in
MT
In the registry since
2012
Specialties on file
5
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

1003 E Broadway St
Missoula, MT 59802-4971
Phone: (406) 549-6163
Fax: (406) 549-1786
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 PHA-PHR-LIC-14920 (MT)
Home Modifications Contractor Taxonomy 171WH0202X
Community/Behavioral Health Agency Taxonomy 251S00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1891057634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Giannakopoulos — Enrollment Manager · (208) 395-3954
Other names Osco Pharmacy #0024
NPI enumeratedJune 7, 2012
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address250 E Parkcenter Blvd, Boise, ID 83706-3940

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