Organization
ACORN USA INC
Active
Other names
Sunwest LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YURI EIDELMAN (PRESIDENT/CEO)
(602) 595-3555
Entity
Organization
Contact information
Practice address
1300 N 12TH ST STE 406, PHOENIX, AZ 85006-2848
(602) 595-3555
(602) 595-3605
Mailing address
1300 N 12TH ST, SUITE 406, PHOENIX, AZ 85006-2848
(602) 595-3555
(602) 595-3605
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
Y005344
AZ
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0356988
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/22/2011
Last updated
02/22/2011
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