| NPI | 1306147319 |
|---|---|
| Doing Business As | PINE BROOK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GAUTAM THAKKAR Pharmacy Manager 813-454-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25021) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2010-11-07 |
| Last Update Date | 2023-04-21 |