NPI 1003340100 · live from the CMS NPI Registry
Acme Markets INC
Dietitian, Registered in Boise, ID. National Provider Identifier 1003340100, active.
NPI record
| NPI | 1003340100 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Practice phone | 208-395-3963 |
| Enumerated | April 14, 2017 |
| Last updated | June 16, 2018 |
| Authorized official | Demond Hawkins, Third Party Manager |
| Other names | Sav-On Pharmacy; Acme Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 28RS00512000 (NJ) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PP415715L (PA) |
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.