Organization
UNITED SUPERMARKETS LLC
Active
Other names
ALBERTSONS MARKET PHARMACY #680, Albertsons Market Pharmacy #0680
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
2402 N GRIMES ST, HOBBS, NM 88240-2109
(575) 392-4503
(575) 392-7338
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
PH00002849
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2057183
PK
—
05
—
64675
—
NM
Enumeration date
06/04/2006
Last updated
02/18/2026
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