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Organization
ACME MARKETS INC
Active
Organization
ACME MARKETS INC
Active
Parent organization
SUPERVALU INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPERVALU INC
Authorized official
DEMOND HAWKINS (THIRD PARTY MANAGER)
(208) 395-3905
Entity
Organization
Contact information
Practice address
300 RYDERS LN, MILLTOWN, NJ 08850-1706
(732) 254-6760
(732) 254-8320
Mailing address
3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RS05961
NJ
Other
Enumeration date
05/25/2006
Last updated
01/19/2018
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