Organization
ACARIAHEALTH PHARMACY, INC.
Active
Parent organization
ACARIAHEALTH, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACARIAHEALTH, INC.
Authorized official
MR. STEPHEN D. JENSEN (CFO)
(407) 903-1335
Entity
Organization
Contact information
Practice address
8505 ARLINGTON BLVD, SUITE 110, FAIRFAX, VA 22031-4621
(703) 846-9912
(703) 846-4998
Mailing address
6923 LEE VISTA BLVD., SUITE 300, ORLANDO, FL 32822-4701
(407) 903-1308
(407) 903-1323
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034613100
—
DC
05
—
1912016940
—
VA
05
—
401564900
—
MD
05
—
7N3823
—
SC
Enumeration date
08/30/2006
Last updated
05/18/2017
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