Organization · NPI-2
Acme Markets INC
Pharmacy, Community/Retail Pharmacy · Edgewater, NJ
NPI number1174990907
StatusActive
Last updated in NPPESAug 14, 2018
Details
- NPI
- 1174990907
- Entity type
- Organization (NPI-2)
- Legal business name
- Acme Markets INC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2015
- Last updated
- Aug 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 28RS00530900 | NJ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Acme Pharmacy #1777 (Doing Business As)
Practice location
481 River RdEdgewater, NJ 07020
Phone 201-840-7764 · Fax 201-840-7786
Mailing address
250 E Parkcenter BlvdMailstop Sec2-B
Boise, ID 83706-3940
Phone 208-395-3920 · Fax 623-282-3834
Authorized official
Tiffany Eliopulos
Assistant Manager, Enrollments
2083953906
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