| NPI | 1063856367 |
|---|---|
| Doing Business As | PEBBLEBROOK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SURESH CHAUDHARI Authorize Person 239-560-4354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26789) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2021-02-05 |