| NPI | 1568188936 |
|---|---|
| Doing Business As | PINE BROOK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GAUTAM THAKKAR Owner 813-454-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |