Organization
AZOF ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZUBIKE OFOKANSI (PHARMACY MANAGER)
(772) 233-6550
Entity
Organization
Contact information
Practice address
1936 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5509
(772) 446-9284
(772) 807-1297
Mailing address
1936 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5509
(772) 446-9284
(772) 807-1297
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH25218
FL
333600000X
Pharmacy
PH25218
FL
3336C0003X
Community/Retail Pharmacy
Primary
PS34434
FL
Other
Enumeration date
02/21/2011
Last updated
10/20/2016
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