Azalea Pharmacy LLC
NPI #1407283989 in Ocean Springs, Mississippi
Provider Information
- NPI Number
- 1407283989
- Entity Type
- Organization
- Organization Name
- Azalea Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 30, 2013
- Last Updated
- Sep 30, 2013
Practice Location
- Address
- 1019 GOVERNMENT ST
- Address 2
- SUITE F
- City
- Ocean Springs
- State
- Mississippi
- ZIP Code
- 39564-3860
- Phone
- (228) 818-5111
Authorized Official
- Name
- MR. JEFFREY WAYNE ROLLINS
- Title
- CFO
- Phone
- (228) 334-2411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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