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Organization

UNITED SUPERMARKETS LLC

Active
Other names
ALBERTSONS MARKET PHARMACY #2923, ALBERTSONS MARKET PHARMACY #0923
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization

Contact information

Practice address
7800 ENCHANTED HILLS BLVD NE, RIO RANCHO, NM 87144-8623
(505) 771-8411
(505) 771-9255
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
PH00004382
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2059019
PK
05
69970769
NM
Enumeration date
07/06/2007
Last updated
05/11/2026
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