NPI | 1588310239 |
---|---|
Doing Business As | PINE BROOK PHARMACY |
Entity Type | Organization |
Authorized Contact | DOROTHY SCHMECKPEPER Pharmacy Supervisor 352-610-4347 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2022-02-22 |
Last Update Date | 2022-02-22 |