Organization
ACME MARKETS INC
Active
Other names
SAV-ON PHARMACY #2862
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
101 BIG ELK MALL, ELKTON, MD 21921
(410) 620-0602
(410) 620-0477
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
P01945
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001200900
—
MD
01
—
2035842
PK
—
Enumeration date
05/26/2006
Last updated
09/04/2018
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