Organization
UNITED SUPERMARKETS LLC
Active
Other names
UNITED PHARMACY #548, United Pharmacy #4548
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
3301 S 14TH ST, ABILENE, TX 79605-5015
(325) 698-7801
(325) 698-3440
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148867801
—
TX
01
—
2093038
PK
—
05
—
465198
—
TX
Enumeration date
12/30/2005
Last updated
03/18/2026
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