Organization
UNITED SUPERMARKETS LLC
Active
Other names
MARKET STREET PHARMACY #674, MARKET STREET PHARMACY #3674
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
4706 N MIDKIFF RD, MIDLAND, TX 79705-2564
(432) 699-7578
(432) 203-5412
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
29385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099985
PK
—
05
—
467068
—
TX
Enumeration date
06/01/2006
Last updated
03/09/2026
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