Organization · NPI-2
Acariahealth Pharmacy #26, INC.
Pharmacy, Community/Retail Pharmacy · Tampa, FL
NPI number1073733408
StatusActive
Last updated in NPPESFeb 9, 2024
Details
- NPI
- 1073733408
- Entity type
- Organization (NPI-2)
- Legal business name
- Acariahealth Pharmacy #26, INC.
- Organization subpart
- Yes
- Enumeration date
- Apr 26, 2007
- Certification date
- Feb 7, 2024
- Last updated
- Feb 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | Ph22669 | FL | Yes |
| 251F00000X | Home Infusion | – | – |
Other names
- Wellcare Specialty Pharmacy, INC. (Former Legal Business Name)
Practice location
8715 Henderson RdTampa, FL 33634-1143
Phone 866-458-9246 · Fax 866-458-9245
Mailing address
8715 Henderson RdTampa, FL 33634-1143
Phone 866-458-9246 · Fax 886-458-9245
Authorized official
Jessica Dawn Ciccolella-Kahl
President
8554222742
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