Albertsons Market Pharmacy #690
LBN: United Supermarkets Llc
Albertsons Market Pharmacy #690 is an health care organization with primary practice located at 1110 S Main St , Roswell NM 88203-5635. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
United Supermarkets Llc can be contacted via phone (575) 622-7039, or through Purser, Tim via phone (806) 791-7410.
Contact Information
Primary practice address
1110 S Main St
Roswell NM 88203-5635
Phone: (575) 622-7039
Fax: (575) 622-7643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH00002850 | New Mexico |
Profile Details
| NPI number | 1679512057 |
|---|---|
| LBN Legal business name | United Supermarkets Llc |
| DBA Doing business as | Albertsons Market Pharmacy #690 |
| Authorized official | Purser, Tim CPHT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Jun 6th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679512057 | NPPES |
| Other | 2058599 | PK | |
| MEDICAID | 73326 | PK |
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