Organization
ACME MARKETS INC
Active
Other names
SAV-ON PHARMACY #2704
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
6601 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2417
(215) 338-6601
(215) 338-5983
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
PP414128L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007619290021
—
PA
01
—
2086741
PK
—
Enumeration date
05/25/2006
Last updated
05/13/2026
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