Organization
ACME MARKETS INC
Active
Other names
SAV-ON PHARMACY #2995
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
251 N BROADWAY, PENNSVILLE, NJ 08070-1200
(856) 678-4378
(856) 678-4421
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
28RS00553000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2053865
PK
—
05
—
7413009
—
NJ
Enumeration date
05/26/2006
Last updated
09/19/2018
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