| NPI | 1689029951 |
|---|---|
| Doing Business As | BAZE SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ATHELIA EZE Owner 662-323-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010285) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: GA PHRE010285) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2017-03-29 |