Organization
ACME MARKETS INC
Active
Other names
SAV-ON PHARMACY #2914
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
4400 S BROAD ST, TRENTON, NJ 08620-2108
(609) 888-9854
(609) 888-9882
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
28RS00605500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2055014
PK
—
05
—
8792003
—
NJ
Enumeration date
05/30/2006
Last updated
02/14/2019
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