NPI | 1093211393 |
---|---|
Doing Business As | AZA HEALTH |
Entity Type | Organization |
Authorized Contact | LARRY PEDERSON Pharmacy Director 386-328-0558 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH31307) |
Additional Taxonomies | 333600000X Pharmacy |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2018-04-04 |
Last Update Date | 2020-02-13 |