Organization
UNITED SUPERMARKETS LLC
Active
Other names
ALBERTSONS MARKET PHARMACY #911, ALBERTSONS MARKET PHARMACY #3911
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
2801 EUBANK BLVD NE STE A, ALBUQUERQUE, NM 87112-1300
(505) 294-1597
(505) 275-0340
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
PH00004384
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056320
PK
—
05
—
64683
—
NM
Enumeration date
06/02/2006
Last updated
05/12/2026
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