Provider Demographics
NPI:1831507508
Name:FRANCES AZIE
Entity type:Organization
Organization Name:FRANCES AZIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:C
Authorized Official - Last Name:AZIE
Authorized Official - Suffix:
Authorized Official - Credentials:BPHARM
Authorized Official - Phone:704-532-2876
Mailing Address - Street 1:10321 WAXHAW MANOR DR
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-7081
Mailing Address - Country:US
Mailing Address - Phone:704-713-6415
Mailing Address - Fax:
Practice Address - Street 1:10321 WAXHAW MANOR DR
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-7081
Practice Address - Country:US
Practice Address - Phone:704-713-6415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15666183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty