Organization · NPI-2
Azof Enterprises INC
Pharmacy, Community/Retail Pharmacy · Port St Lucie, FL
NPI number1811294234
StatusActive
Last updated in NPPESOct 20, 2016
Details
- NPI
- 1811294234
- Entity type
- Organization (NPI-2)
- Legal business name
- Azof Enterprises INC
- Organization subpart
- No
- Enumeration date
- Feb 21, 2011
- Last updated
- Oct 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | ps34434 | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | ph25218 | FL | |
| 333600000X | Pharmacy | ph25218 | FL |
Practice location
1936 Se Port St Lucie BlvdPort St Lucie, FL 34952-5509
Phone 772-446-9284 · Fax 772-807-1297
Mailing address
1936 Se Port St Lucie BlvdPort St Lucie, FL 34952-5509
Phone 772-446-9284 · Fax 772-807-1297
Authorized official
Azubike Ofokansi
Pharmacy Manager
7722336550
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