| NPI | 1861100612 |
|---|---|
| Doing Business As | ACACIA APOTHECARY AND WELLNESS HOUGHTON |
| Entity Type | Organization |
| Authorized Contact | JUSTIN M BROCK Owner/PIC 520-670-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |