United Supermarkets LLC
Pharmacy, Community/Retail Pharmacy in Lubbock, TX. Organization (NPI-2).
NPI number1477531366
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1477531366
- Entity type
- Organization (NPI-2)
- Legal business name
- United Supermarkets LLC
- Organization subpart
- No
- Enumeration date
- Jan 3, 2006
- Certification date
- Apr 27, 2026
- Last updated
- Apr 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 21408 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Market Street Pharmacy #2553 (Doing Business As)
Practice location
4425 19th StLubbock, TX 79407-2408
Phone 806-788-2015 · Fax 806-788-2016
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Authorized official
Kathy Giannakopoulos
Enrollments Manager
2083953954
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