Organization · Type 2 NPI

United Supermarkets LLC

Community/Retail Pharmacy · Canyon, TX

NPI number 1396722294 Active

Practice location

201 N 23rd St
Canyon, TX 79015-2516

Fax (806) 655-2909

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X22820 (TX)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

4 other providers at this address

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About NPI 1396722294

United Supermarkets LLC's National Provider Identifier is 1396722294, issued on Dec 30, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Canyon, TX. The record was last updated on Apr 6, 2026.