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Organization

UNITED SUPERMARKETS LLC

Active
Other names
UNITED PHARMACY #537, UNITED PHARMACY #3537
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization

Contact information

Practice address
2703 82ND ST, LUBBOCK, TX 79423-1429
(806) 745-3907
(806) 503-3730
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
21412
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148888401
TX
01
2104666
PK
05
465193
TX
Enumeration date
12/30/2005
Last updated
04/27/2026
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