Organization
ACME MARKETS INC
Active
Other names
ACME SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO TORRES (NEW STORE ENROLLMENTS)
(208) 395-3963
Entity
Organization
Contact information
Practice address
79 S MAIN ST, MARLBORO, NJ 07746-1821
(732) 683-9904
(732) 683-9316
Mailing address
79 S MAIN ST, MARLBORO, NJ 07746-1821
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
RS06100
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3144211
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8989907
—
NJ
Enumeration date
05/25/2006
Last updated
07/05/2017
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