Organization
ACME MARKETS INC
Active
Other names
SAV-ON PHARMACY #3711
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
121 E CITY LINE AVE, BALA CYNWYD, PA 19004-2448
(610) 667-7051
(610) 667-8198
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
PP415715L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007619290019
—
PA
01
—
2085131
PK
—
Enumeration date
05/25/2006
Last updated
09/10/2018
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