Organization
ACME MARKETS INC
Active
Other names
SAV-ON PHARMACY #3835
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
2087 ROUTE 9 STE 11, OCEAN VIEW, NJ 08230-1148
(609) 624-9041
(609) 624-1842
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00423000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058772
PK
—
05
—
4405307
—
NJ
Enumeration date
05/25/2006
Last updated
11/17/2022
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