Healthcare Provider Details

I. General information

NPI: 1073851143
Provider Name (Legal Business Name): ACORN USA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2013
Last Update Date: 03/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 N SCOTTSDALE RD SUITE 100
SCOTTSDALE AZ
85251-5648
US

IV. Provider business mailing address

1300 N 12TH ST SUITE 555
PHOENIX AZ
85006-2848
US

V. Phone/Fax

Practice location:
  • Phone: 480-290-7050
  • Fax: 480-290-7051
Mailing address:
  • Phone: 602-595-3555
  • Fax: 602-595-3605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHASE WESTEN
Title or Position: PHARMACIST-IN-CHARGE
Credential: PHARM D.
Phone: 480-290-7050