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

Jewel Osco Southwest LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1629169289

Jewel Osco Southwest LLC is a Durable Medical Equipment & Medical Supplies in Boise, Idaho. Registered with an NPI since 2006.

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

250 E Parkcenter Blvd
Boise, ID 83706-3940
Phone: (208) 395-3963
Fax: (623) 336-6363
Show map & directions

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

Specialties & licences

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

Record details

NPI number1629169289
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAlbertsons Holdings LLC
Authorized official Lorenzo Torres — Pharmacy Enrollment Specialist · (208) 395-3963
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJuly 21, 2022
Mailing address75 Remittance Drive, Suite 1242, Chicago, IL 60675-1242

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