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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