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NPI Code Detail

MEDICARE: A & Z PHARMACY LLC

MEDICARE: A & Z PHARMACY LLC
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
1333600000XPharmacyPHY006413IRLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22133746OTHERPK

General Provider Information

NPI Number : 1417047929
Entity Type Code : Organization
Provider Name (Legal Business Name) : A & Z PHARMACY LLC
Provider Business Mailing Address
First Line : 3102 LINWOOD AVE
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-4231
Country : US
Telephone Number : 318-635-8159
Fax Number : 318-631-7688
Provider Business Practice Location Address
First Line : 3102 LINWOOD AVE
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-4231
Country : US
Telephone Number : 318-635-8159
Fax Number : 318-631-7688
Authorized Official
Title or Position : OWNER
Name : SYED ZULFIQAR
Credential :
Telephone Number : 214-421-2210
Provider Enumeration Date : 10/13/2006
Last Update Date : 04/14/2021

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Directions to “A & Z PHARMACY LLC ” Practice Location

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