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ACACIARX NPI 1992127682


NPI Information

NPI: 1992127682
Provider Name: ACACIARX

Doing Business As: ACACIA APOTHECARY AND WELLNESS

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 03D2100120

Address:
1845 W ORANGE GROVE RD
SUITE 115
TUCSON, AZ
ZIP 85704
Phone: (520) 670-0777
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ACACIARX is a pharmacy in Tucson, AZ. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ACACIARX NPI is 1992127682. The provider is registered as an organization entity type.
The provider Is Doing Business As Acacia Apothecary And Wellness.

The provider's business location address is:

1845 W ORANGE GROVE RD
SUITE 115
TUCSON, AZ
ZIP 85704-134
Phone: (520) 670-0777
Fax: (520) 620-9738

The provider's authorized official is Justin Matthew Brock .
The authorized official title is Manager and has the following contact phone number (520) 405-7651.

The CLIA number assigned to this NPI record is 03D2100120 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2014 and was last updated on 3/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyY005818ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.