Organization
ACME MARKETS INC
Active
Other names
ACME PHARMACY #1095
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY YOST (PHARMACY ENROLLMENT SPECIALIST)
(208) 395-3920
Entity
Organization
Contact information
Practice address
45 DE MERCURIO DR, ALLENDALE, NJ 07401-1711
(201) 934-3333
(201) 934-3361
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00525100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0505773
—
NJ
Enumeration date
10/11/2017
Last updated
10/11/2017
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