Organization
ACME MARKETS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMOND HAWKINS (THIRD PARTY MANAGER)
(208) 395-3905
Entity
Organization
Contact information
Practice address
4 NEW GARDEN SHOPPING CENTER, KENNETT SQUARE, PA 19348
(610) 444-4909
(610) 444-3255
Mailing address
4 NEW GARDEN SHOPPING CENTER, KENNETT SQUARE, PA 19348
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP414155L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007619290049
—
PA
01
—
3956678
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/30/2006
Last updated
01/19/2018
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