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Organization
ACME MARKETS INC
Active
Organization
ACME MARKETS INC
Active
Other names
ACME PHARMACY #1777
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
481 RIVER RD, EDGEWATER, NJ 07020-1145
(201) 840-8550
(201) 840-8850
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00530900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0517858
—
NJ
Enumeration date
10/11/2017
Last updated
11/07/2018
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