Organization
ACARIAHEALTH PHARMACY INC
Active
Other names
AcariaHealth Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JENSEN (PRESIDENT)
(800) 511-5144
Entity
Organization
Contact information
Practice address
2924 TELESTAR CT, FALLS CHURCH, VA 22042-1206
(800) 511-5144
(866) 834-8523
Mailing address
8427 SOUTHPARK CIR, SUITE 400, ORLANDO, FL 32819-9058
(855) 422-2742
(866) 834-8523
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861687279
—
VA
01
—
2106302
PK
—
05
—
3810030190
—
WV
05
—
422527900
—
MD
05
—
67080400
—
DC
05
—
7V4179
—
SC
Enumeration date
09/10/2007
Last updated
03/11/2020
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