Organization
ACACIA APOTHECARY AND WELLNESS LLC
Active
Parent organization
REVELATION PHARMA
Other names
Acacia Apothecary and Wellness LLC, Acacia Apothecary and Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
REVELATION PHARMA
Authorized official
DR. SAGE SUFFECOOL PHARM D (PHARMACIST IN CHARGE)
(520) 670-0777
Entity
Organization
Contact information
Practice address
1845 W ORANGE GROVE RD, SUITE 115, TUCSON, AZ 85704-1134
(520) 670-0777
(520) 620-9738
Mailing address
1845 W ORANGE GROVE RD STE 115, TUCSON, AZ 85704-1146
(520) 670-0777
(520) 488-2566
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
Y005818
AZ
3336C0004X
Compounding Pharmacy
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—
Other
Enumeration date
01/14/2014
Last updated
01/21/2026
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