Organization
UNITED SUPERMARKETS LLC
Active
Other names
ALBERTSONS MARKET PHARMACY #681, ALBERTSONS MARKET PHARMACY #3681
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
1300 10TH ST, ALAMOGORDO, NM 88310-5805
(575) 488-1214
(575) 488-1208
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00003820
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149084
PK
—
Enumeration date
12/01/2014
Last updated
05/12/2026
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