Organization
ACME MARKETS INC
Active
Other names
SAV-ON PHARMACY #4926
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
23 VETERANS PKWY, WILLINGBORO, NJ 08046-1408
(609) 871-1310
(609) 871-1586
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00486400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2052742
PK
—
05
—
6063802
—
NJ
Enumeration date
05/25/2006
Last updated
06/16/2023
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