Provider Demographics
NPI:1376312876
Name:AYZA LLC
Entity Type:Organization
Organization Name:AYZA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ZUBAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:AZAM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:410-549-1900
Mailing Address - Street 1:7627 WOODBINE RD
Mailing Address - Street 2:SUITE # G
Mailing Address - City:WOODBINE
Mailing Address - State:MD
Mailing Address - Zip Code:21797
Mailing Address - Country:US
Mailing Address - Phone:410-549-1900
Mailing Address - Fax:410-549-3776
Practice Address - Street 1:7627 WOODBINE RD
Practice Address - Street 2:SUITE # G
Practice Address - City:WOODBINE
Practice Address - State:MD
Practice Address - Zip Code:21797
Practice Address - Country:US
Practice Address - Phone:410-549-1900
Practice Address - Fax:410-549-3776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy