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Organization

ACME MARKETS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEMOND HAWKINS (THIRD PARTY MANAGER)
(208) 395-3905
Entity
Organization

Contact information

Practice address
505 W BUTLER AVE, CHALFONT, PA 18914-2218
(215) 997-3693
(215) 997-5536
Mailing address
3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PP415318L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007619290031
PA
01
2083645
PK
Enumeration date
05/25/2006
Last updated
01/18/2018
About Stedi
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