Organization
UNITED SUPERMARKETS LLC
Active
Other names
ALBERTSONS MARKET PHARMACY #0939, ALBERTSONS MARKET PHARMACY #2939
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
12201 ACADEMY RD NE, ALBUQUERQUE, NM 87111-8051
(505) 275-9733
(505) 275-9787
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
PH00004383
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058420
PK
—
05
—
61698
—
NM
Enumeration date
06/01/2006
Last updated
05/11/2026
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