# ACME MARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACME PHARMACY \#1782
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790152536
- **Authorized official:** TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
- **Authorized official phone:** (208) 395-3906

## Contact information

- **Practice address:** 1060 RARITAN RD, CLARK, NJ 07066
- **Practice address phone:** (732) 340-0081
- **Practice address fax:** (732) 340-0880
- **Mailing address:** 250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
- **Mailing address phone:** (208) 395-3920
- **Mailing address fax:** (623) 282-3834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00665900 | NJ | Yes |

## Other

- **Enumeration date:** 08/27/2015
- **Last updated:** 08/14/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0517640 | — | NJ |
| 01 | — | 2154250 | PK | — |