Organization
UNITED SUPERMARKETS LLC
Active
Organization
UNITED SUPERMARKETS LLC
Active
Other names
UNITED PHARMACY #3530, United Pharmacy #530
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
3552 S SONCY RD, AMARILLO, TX 79119-6672
(806) 467-6815
(806) 467-6816
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
29049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144166
PK
—
05
—
466984
—
TX
Enumeration date
02/11/2014
Last updated
03/18/2026
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