NPI 1033100557
United Supermarkets LLC
Practice location
- Address
- 112 N University Ave, Lubbock, TX 79415-2822
- Phone
- (806) 763-5908
- Fax
- (806) 741-0618
- Mailing address
- 250 E Parkcenter Blvd, Boise, ID 83706-3940
Authorised official
- Name
- Kathy Giannakopoulos
- Title
- Enrollments Manager
- Phone
- (208) 395-3954
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1033100557
- Entity type
- Organization
- NPI issued
- 3 Nov 2005
- Record last updated
- 11 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.