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Organization

ACME MARKETS INC

Active
Other names
ACME PHARMACY #1063
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization

Contact information

Practice address
3101 ROUTE 22, PATTERSON, NY 12563
(845) 878-2055
(845) 878-2066
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
034673
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2158394
PK
Enumeration date
01/22/2016
Last updated
07/24/2018
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