Organization
ACME MARKETS INC
Active
Other names
Acme Pharmacy #0806
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
100 SUBURBAN DR, NEWARK, DE 19711-3597
(302) 453-2335
(302) 453-0137
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
A3-0000946
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000383107
—
DE
01
—
2003715
PK
—
Enumeration date
05/25/2006
Last updated
04/07/2025
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