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General NPI Number Information
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NPI Number | 1073733408
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Entity Type | Organization
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Legal Business Name | ACARIAHEALTH PHARMACY #26, INC.
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 8715 HENDERSON RD
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City | TAMPA
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State | FL
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Zip | 33634-1143
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Country | US
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Telephone | 866-458-9246
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Fax | 866-458-9245
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Provider Business Mailing Address
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Address Line | 8715 HENDERSON RD
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City | TAMPA
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State | FL
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Zip | 33634-1143
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Country | US
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Telephone | 866-458-9246
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Fax | 886-458-9245
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Authorized Official
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Title or Position | PRESIDENT
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Name | JESSICA DAWN CICCOLELLA-KAHL
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Credential |
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Telephone | 855-422-2742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH22669
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License Number State | FL
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