Organization
UNITED SUPERMARKETS LLC
Active
Other names
United Pharmacy, UNITED PHARMACY #0022
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
4701 S WASHINGTON ST, AMARILLO, TX 79110-2619
(806) 373-3341
(806) 376-6403
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
21393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149308201
—
TX
01
—
4578893
NCPDP
TX
05
—
465183
—
TX
Enumeration date
02/02/2007
Last updated
03/18/2026
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