| NPI | 1467811703 |
|---|---|
| Doing Business As | AZA HEALTH #09 |
| Entity Type | Organization |
| Authorized Contact | LARRY WILLIAM PEDERSON VP/CPO 386-328-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH29810) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2020-02-13 |