Organization
RURAL HEALTH CARE, INC
Active
Other names
Aza Health #09
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY WILLIAM PEDERSON RPH, CPH (VP/CPO)
(386) 328-0558
Entity
Organization
Contact information
Practice address
460 PALM COAST PKWY SW, SUITE 5, PALM COAST, FL 32137-4785
(386) 246-3958
(386) 246-3961
Mailing address
460 PALM COAST PKWY SW, SUITE 5, PALM COAST, FL 32137-4785
(386) 246-3958
(386) 246-3961
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH29810
FL
Other
Enumeration date
02/15/2016
Last updated
02/13/2020
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