Acme Markets INC

Dietitian, Registered in Boise, ID. Organization (NPI-2).

NPI number1003340100

StatusActive

Last updated in NPPESJun 16, 2018

Details

NPI: 1003340100
Entity type: Organization (NPI-2)
Legal business name: Acme Markets INC
Organization subpart: No
Enumeration date: Apr 14, 2017
Last updated: Jun 16, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
133V00000X	Dietitian, Registered	–	–	Yes
3336C0003X	Pharmacy, Community/Retail Pharmacy	28RS00512000	NJ
3336C0003X	Pharmacy, Community/Retail Pharmacy	PP415715L	PA

Other names

Sav-On Pharmacy (Doing Business As)
Acme Pharmacy (Doing Business As)

Practice location

250 E Parkcenter Blvd
Boise, ID 83706-3940

Phone 208-395-3963 · Fax 623-336-6363

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Phone 208-395-3963 · Fax 623-336-6363

Other practice locations

121 E City Line Ave
Bala Cynwyd, PA 19004-2448

Phone 610-667-7051 · Fax 610-667-8198

125 Franklin Tpke
Mahwah, NJ 07430-1341

Phone 201-512-9332 · Fax 201-512-0149

Authorized official

Demond Hawkins
Third Party Manager
2083953905

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