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Organization

UNITED SUPERMARKETS LLC

Active
Other names
ALBERTSONS MARKET PHARMACY #3987, ALBERTSONS MARKET PHARMACY #0987
Organization subpart
No

Provider details

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

Contact information

Practice address
3001 S SAINT FRANCIS DR, SANTA FE, NM 87505-6964
(505) 992-8638
(505) 992-8654
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
PH00004374
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2058435
PK
05
62064
NM
Enumeration date
06/01/2006
Last updated
05/12/2026
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