Organization
UNITED SUPERMARKETS LLC
Active
Other names
UNITED PHARMACY #3547
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
920 N WILLIS ST, ABILENE, TX 79603-4621
(325) 677-1362
(325) 677-2428
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
21415
TX
333600000X
Pharmacy
21415
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148869401
—
TX
01
—
4583806
NCPDP
TX
05
—
465197
—
TX
Enumeration date
01/04/2006
Last updated
03/18/2026
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