United Supermarkets, L.l.c.
NPI #1649257551 in Colleyville, Texas
Provider Information
- NPI Number
- 1649257551
- Entity Type
- Organization
- Organization Name
- United Supermarkets, L.l.c.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Dec 30, 2005
- Last Updated
- Oct 17, 2007
Practice Location
- Address
- 5605 COLLEYVILLE BLVD
- City
- Colleyville
- State
- Texas
- ZIP Code
- 76034-6022
- Phone
- (817) 577-5030
Authorized Official
- Name
- TIM PURSER, RPH
- Title
- THIRD PARTY ADMINISTRATOR
- Phone
- (806) 791-0220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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