Acme Pharmacy #1058
LBN: Acme Markets Inc
Acme Pharmacy #1058 is an health care organization with primary practice located at 125 Franklin Tpke , Mahwah NJ 07430. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Acme Markets Inc can be contacted via phone (201) 529-9760, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
125 Franklin Tpke
Mahwah NJ 07430
Phone: (201) 529-9760
Fax: (201) 529-9767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28RS00512000 | New Jersey |
Profile Details
| NPI number | 1679940654 |
|---|---|
| LBN Legal business name | Acme Markets Inc |
| DBA Doing business as | Acme Pharmacy #1058 |
| Authorized official | Eliopulos, Tiffany |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 26th, 2015 |
| Last updated | Jul 24th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679940654 | NPPES |
| Other | 2154247 | PK | |
| MEDICAID | 0517615 | PK |
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