NPI 1659915965 · live from the CMS NPI Registry
Acariahealth Pharmacy 12 INC
Pharmacy in Hawthorne, NY. National Provider Identifier 1659915965, active.
NPI record
| NPI | 1659915965 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 5 Skyline Dr Ste 240, Hawthorne, NY 10532 |
| Practice phone | 800-511-5144 |
| Mailing address | 8427 Southpark Cir Ste 400, Orlando, FL 32819 |
| Enumerated | October 30, 2019 |
| Last updated | March 11, 2020 |
| Authorized official | Stephen Jensen, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.