| 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 |