Organization
ACME MARKETS INC
Active
Other names
SAV-ON PHARMACY #0817
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
146 FOX HUNT DR, ROUTE 40, BEAR, DE 19701
(302) 836-9387
(302) 836-0713
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
A3-0000947
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000184507
—
DE
01
—
2003661
PK
—
Enumeration date
05/25/2006
Last updated
10/17/2018
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