| NPI | 1639888324 |
|---|---|
| Doing Business As | ACME PHARMACY #3786 |
| Entity Type | Organization |
| Authorized Contact | KATHY GIANNAKOPOULOS Enrollments Manager 208-395-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |