United Supermarkets LLC
NPI #1588895213 in Ruidoso, New Mexico
Provider Information
- NPI Number
- 1588895213
- Entity Type
- Organization
- Organization Name
- United Supermarkets LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 29, 2009
- Last Updated
- Feb 22, 2017
Practice Location
- Address
- 721 MECHEM DR
- City
- Ruidoso
- State
- New Mexico
- ZIP Code
- 88345-6911
- Phone
- (575) 630-8020
Authorized Official
- Name
- TIM PURSER
- Title
- DIRECTOR OF PHARMACY
- Phone
- (806) 791-0220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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