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
200 MOUNTS CORNER DR, FREEHOLD, NJ 07728-2547
(732) 761-2412
(732) 761-2335
Mailing address
200 MOUNTS CORNER DR, FREEHOLD, NJ 07728-2547
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
RS00645900
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062944
—
NJ
01
—
3192274
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/25/2006
Last updated
07/05/2017
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