| NPI | 1558596932 |
|---|---|
| Doing Business As | PINE BROOK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HEENA THAKKAR President 813-454-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24082) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2022-01-27 |