Individual
JEREME AJAZ AZEEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
49 E OLD MILL RD, FAIR GROVE, MO 65648-8452
(417) 759-6300
Mailing address
8195 N FARM ROAD 197, FAIR GROVE, MO 65648-8268
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2004035743
MO
Other
Enumeration date
10/20/2011
Last updated
04/24/2013
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