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Organization
ACME MARKETS INC
Active
Organization
ACME MARKETS INC
Active
Other names
ACME PHARMACY #0295
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
4030 ROUTE 37 E STE 3F, SEASIDE HEIGHTS, NJ 08751-1659
(732) 830-0800
(732) 830-4863
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
(208) 395-3920
(623) 282-3834
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00400600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0521558
—
NJ
01
—
2154436
PK
—
Enumeration date
08/25/2015
Last updated
11/16/2022
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