Organization
AYZA LLC
Active
Other names
KINGS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ZUBAIR AZAM (OWNER)
(410) 549-1900
Entity
Organization
Contact information
Practice address
7627 WOODBINE RD, WOODBINE, MD 21797-8939
(410) 549-1900
(410) 549-3776
Mailing address
PO BOX 256, WOODBINE, MD 21797-0256
(410) 549-1900
(410) 549-3776
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P04737
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2033691
PK
—
05
—
417556500
—
MD
Enumeration date
01/08/2007
Last updated
06/06/2016
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