# ACARIAHEALTH PHARMACY \#11, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ACARIAHEALTH, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710343041
- **Legal business name:** ACARIAHEALTH, INC.
- **Authorized official:** STEPHEN JENSEN (PRESIDENT)
- **Authorized official phone:** (800) 511-5144

## Contact information

- **Practice address:** 1311 W SAM HOUSTON PKWY N, 130, HOUSTON, TX 77043-4010
- **Practice address phone:** (832) 900-1367
- **Practice address fax:** (713) 654-8021
- **Mailing address:** 6923 LEE VISTA BLVD STE 300, ORLANDO, FL 32822-4703
- **Mailing address phone:** (855) 422-2742
- **Mailing address fax:** (866) 834-8523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 25485 | TX | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 03/11/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 146690 | — | TX |
