Organization
RURAL HEALTH CARE, INCORPORATED
Active
Other names
Aza Health
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SPENCER AA, BA, BSP (CHIEF EXECUTIVE OFFICER)
(386) 328-0108
Entity
Organization
Contact information
Practice address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-0558
(386) 328-9443
Mailing address
PO BOX 817, PALATKA, FL 32178-0817
(386) 328-0558
(386) 328-9443
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH9296
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100931100
—
FL
05
—
100931179
—
FL
01
—
2011301
PK
—
Enumeration date
10/23/2006
Last updated
02/13/2020
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