Organization
ACME MARKETS INC
Active
Other names
SAV-ON PHARMACY #1725
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
8200 ROOSEVELT BLVD, PHILADELPHIA, PA 19152
(215) 338-4967
(215) 338-2437
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
PP481207
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007619290070
—
PA
01
—
2086231
PK
—
Enumeration date
05/25/2006
Last updated
07/30/2018
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