Organization
ACME MARKETS INC
Active
Other names
SAV-ON PHARMACY #3920
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS)
(208) 395-3906
Entity
Organization
Contact information
Practice address
857 ROUTE 45, PILESGROVE, NJ 08098
(856) 769-8655
(856) 769-9359
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
28RS00583700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054362
PK
—
05
—
8314802
—
NJ
Enumeration date
05/25/2006
Last updated
08/28/2018
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