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Organization
ACME MARKETS INC
Active
Organization
ACME MARKETS INC
Active
Other names
SAV-ON PHARMACY #0890
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
11 COURT HOUSE SOUTH DENNIS RD, JAMESWAY SHOPPING PLAZA, CAPE MAY COURT HOUSE, NJ 08210-2150
(609) 463-9037
(609) 463-8947
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
28RS00533300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6977201
—
NJ
Enumeration date
10/12/2017
Last updated
09/12/2019
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