Provider Demographics
NPI:1548387020
Name:ANAZAOHEALTH CORPORATION
Entity Type:Organization
Organization Name:ANAZAOHEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-882-4500
Mailing Address - Street 1:PO BOX 22884
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33622-2884
Mailing Address - Country:US
Mailing Address - Phone:813-882-4500
Mailing Address - Fax:813-882-0201
Practice Address - Street 1:5211 W 9TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4120
Practice Address - Country:US
Practice Address - Phone:806-463-7586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX25118OtherBOARD OF PHARMACY LICENSE
TXW0147476OtherTEXAS CONTROLLED SUBSTANC
TXW0147476OtherTEXAS CONTROLLED SUBSTANC