Organization
UNITED SUPERMARKETS, LTD.
Active
Other names
United Pharmacy 425
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANN KIRBY (VP AND CFO)
(806) 791-0220
Entity
Organization
Contact information
Practice address
122 S MAIN ST, PERRYTON, TX 79070-2659
(806) 435-3636
(806) 436-3638
Mailing address
7830 ORLANDO AVE, LUBBOCK, TX 79423-1942
(806) 791-0220
(806) 791-7490
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25295
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466332
—
TX
Enumeration date
02/02/2007
Last updated
08/22/2020
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