# ACARIAHEALTH PHARMACY 12 INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659915965
- **Authorized official:** STEPHEN JENSEN (PRESIDENT)
- **Authorized official phone:** (800) 511-5144

## Contact information

- **Practice address:** 5 SKYLINE DR STE 240, HAWTHORNE, NY 10532-2166
- **Practice address phone:** (800) 511-5144
- **Practice address fax:** (877) 541-1503
- **Mailing address:** 8427 SOUTHPARK CIR STE 400, ORLANDO, FL 32819-9057
- **Mailing address phone:** (855) 422-2742
- **Mailing address fax:** (877) 801-6091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2019
- **Last updated:** 03/11/2020