Organization
RURAL HEALTH CARE, INCORPORATED
Active
Other names
Aza Health
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SPENCER (PRESIDENT/CEO)
(386) 328-0108
Entity
Organization
Contact information
Practice address
105 WHITEHALL DR, SUITES 109-114, ST AUGUSTINE, FL 32086-5269
(904) 829-2530
(904) 829-2924
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
PH26334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008372600
—
FL
01
—
2136679
PK
—
Enumeration date
09/17/2012
Last updated
02/13/2020
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