United Supermarkets LLC
Durable Medical Equipment & Medical Supplies in Pecos, TX. Organization (NPI-2).
NPI number1962028902
StatusActive
Last updated in NPPESFeb 18, 2026
Details
- NPI
- 1962028902
- Entity type
- Organization (NPI-2)
- Legal business name
- United Supermarkets LLC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2020
- Certification date
- Feb 18, 2026
- Last updated
- Feb 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- United Pharmacy #0663 (Doing Business As)
Practice location
2783 S Cedar StPecos, TX 79772-6206
Phone 432-755-3160 · Fax 432-755-5006
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Authorized official
Kathy Giannakopoulos
Enrollments Manager
2083953954
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