NPI | 1992127682 |
---|---|
Doing Business As | ACACIA APOTHECARY AND WELLNESS |
Entity Type | Organization |
Authorized Contact | JUSTIN MATTHEW BROCK Manager 520-405-7651 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: AZ Y005818) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2014-01-14 |
Last Update Date | 2022-09-12 |