MEDICARE: ACACIARX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1861100612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACACIARX

Provider Business Mailing Address
First Line	:	7545 S HOUGHTON RD STE 101
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-9378
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7545 S HOUGHTON RD STE 101
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-9378
Country	:	US
Telephone Number	:	520-670-0777
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	BACH-TRUC CHAU
Credential	:	PHARM D
Telephone Number	:	520-670-0777

Provider Enumeration Date	:	11/10/2022
Last Update Date	:	01/21/2026

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