Organization
UNITED SUPERMARKETS LLC
Active
Organization
UNITED SUPERMARKETS LLC
Active
Other names
ALBERTSONS MARKET PHARMACY #0922
Organization subpart
No
Provider details
NPI number
Authorized official
TIM PURSER CPHT (DIRECTOR OF PHARMACY)
(806) 791-7410
Entity
Organization
Contact information
Practice address
6600 CENTRAL AVE SW, ALBUQUERQUE, NM 87121-8800
(505) 831-4641
(505) 831-1564
Mailing address
7830 ORLANDO AVE, LUBBOCK, TX 79423-1942
(208) 395-6200
(806) 791-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00004371
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058198
PK
—
05
—
61254
—
NM
Enumeration date
06/04/2006
Last updated
07/19/2018
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