Organization
ANAZAOHEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS BERKOFF (CFO)
(813) 882-4500
Entity
Organization
Contact information
Practice address
5710 HOOVER BLVD, TAMPA, FL 33634-5339
(813) 882-4500
Mailing address
5710 HOOVER BLVD, TAMPA, FL 33634-5339
(813) 882-4500
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH20156
FL
3336C0004X
Compounding Pharmacy
PH15735
FL
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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