NPI 1003340100

Acme Markets INC

Organisation Registered Dietitian Boise, ID

Practice location

Address: 250 E Parkcenter Blvd, Boise, ID 83706-3940
Phone: (208) 395-3963
Fax: (623) 336-6363

Authorised official

Name: Demond Hawkins
Title: Third Party Manager
Phone: (208) 395-3905

Registered specialties (3)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Idaho →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X Licence 28RS00512000 (NJ)

Other Pharmacy providers in Idaho →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X Licence PP415715L (PA)

Registry record

NPI: 1003340100
Entity type: Organization
NPI issued: 14 Apr 2017
Record last updated: 16 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.