Organization
UNITED SUPERMARKETS LLC
Active
Organization
UNITED SUPERMARKETS LLC
Active
Other names
ALBERTSONS MARKET PHARMACY #2928, ALBERTSONS MARKET PHARMACY #0928
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
11825 LOMAS BLVD NE, ALBUQUERQUE, NM 87112-5613
(505) 293-9156
(505) 323-1740
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
PH00004423
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2057080
PK
—
05
—
64691
—
NM
Enumeration date
06/07/2006
Last updated
05/11/2026
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