| NPI | 1134428824 |
|---|---|
| Doing Business As | PINE BROOK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HEENA THAKKAR Owner 813-454-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25342) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2022-01-25 |