Organization
ACME MARKETS INC
Active
Other names
ACME PHARMACY, SAV-ON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEMOND HAWKINS (THIRD PARTY MANAGER)
(208) 395-3905
Entity
Organization
Contact information
Practice address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-3963
(623) 336-6363
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-3963
(623) 336-6363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
3336C0003X
Community/Retail Pharmacy
28RS00512000
NJ
3336C0003X
Community/Retail Pharmacy
PP415715L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPLIED FOR
MEDICARE GROUP PRACTICE PROVIDER NO
—
Enumeration date
04/14/2017
Last updated
06/16/2018
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