Organization
RURAL HEALTH CARE, INC.
Active
Organization
RURAL HEALTH CARE, INC.
Active
Other names
Aza Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY WILLIAM PEDERSON RPH, CPH (VP/CPO)
(386) 328-0558
Entity
Organization
Contact information
Practice address
1305 N ORANGE AVE, GREEN COVE SPRINGS, FL 32043-2547
(904) 284-5904
(904) 284-5905
Mailing address
PO BOX 817, PALATKA, FL 32178-0817
(386) 328-0108
(386) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH0027105
FL
Other
Enumeration date
10/08/2013
Last updated
02/13/2020
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