MEDICARE: A TO Z PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PH24329	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1050412	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1356679906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A TO Z PHARMACY INC

Provider Business Mailing Address
First Line	:	9226 ESTRADA PL
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-1750
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9039 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-4221
Country	:	US
Telephone Number	:	352-362-1499
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	PRABHJOT GILL
Credential	:
Telephone Number	:	352-362-1499

Provider Enumeration Date	:	11/19/2009
Last Update Date	:	11/19/2009

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