Organization
ACARIAHEALTH PHARMACY 13 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JENSEN (PRESIDENT)
(800) 511-5144
Entity
Organization
Contact information
Practice address
3302 GARFIELD AVE, COMMERCE, CA 90040
(323) 262-9403
(866) 834-8523
Mailing address
8517 SOUTHPARK CIR STE 200, ORLANDO, FL 32819-9033
(855) 422-2742
(866) 834-8523
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028407
—
AK
05
—
11979100
—
FL
05
—
1992786495
—
CA
05
—
1992786495
—
ID
05
—
1992786495
—
MN
05
—
1992786495
—
MT
05
—
1992786495
—
OR
05
—
1992786495
—
UT
05
—
200925580A
—
IN
01
—
2133836
PK
—
05
—
2947066
—
OH
05
—
6031785
—
WA
05
—
630914
—
HI
05
—
709279
—
AZ
Enumeration date
11/10/2005
Last updated
08/21/2022
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