United Supermarkets LLC
NPI #1720286156 in Taos, New Mexico
Provider Information
- NPI Number
- 1720286156
- Entity Type
- Organization
- Organization Name
- United Supermarkets LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 6, 2007
- Last Updated
- Jul 19, 2018
Practice Location
- Address
- 710 PASEO DEL PUEBLO SUR STE A
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-5998
- Phone
- (575) 758-1203
Authorized Official
- Name
- TIM PURSER, CPHT
- Title
- DIRECTOR OF PHARMACY
- Phone
- (806) 791-7410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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