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Organization

ACARIAHEALTH PHARMACY #14, INC.

Active
Other names
ACARIAHEALTH PHARMACY #14
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA CICCOLELLA-KAHL (PRESIDENT)
(855) 422-2742
Entity
Organization

Contact information

Practice address
4151 E COMMERCE WAY # 1041, SACRAMENTO, CA 95834-9679
(916) 927-0336
(877) 541-1503
Mailing address
PO BOX 956780, SAINT LOUIS, MO 63195-6780
(855) 422-2742

Taxonomy

Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
332B00000X
Durable Medical Equipment & Medical Supplies
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
333600000X
Pharmacy
PHY51424
CA
3336C0003X
Community/Retail Pharmacy
OSP.00065872
CO
3336S0011X
Specialty Pharmacy
030426
NY
3336S0011X
Specialty Pharmacy
Primary
1174
AK
3336S0011X
Specialty Pharmacy
21938MS
ID
3336S0011X
Specialty Pharmacy
PH02666
NV
3336S0011X
Specialty Pharmacy
PHNR.FO.60242870
WA
3336S0011X
Specialty Pharmacy
PMP-861
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578903
AK
05
1699096842
CA
05
1699096842
ID
05
1699096842
NV
05
1699096842
WA
01
2133837
PK
Enumeration date
06/22/2010
Last updated
03/22/2024
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