Organization
ACME MARKETS INC
Active
Other names
ACME PHARMACY #1582
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
550 MYRTLE AVE, BOONTON, NJ 07005
(973) 402-4330
(973) 402-4335
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
(208) 395-3920
(623) 282-3834
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00750800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0550086
—
NJ
01
—
2158391
PK
—
Enumeration date
01/22/2016
Last updated
08/14/2018
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