NPI | 1629744941 |
---|---|
Doing Business As | PINE PHARMACY |
Entity Type | Organization |
Authorized Contact | TEJAS GANDHI Pharmacist In Charge 352-348-4049 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2021-08-17 |
Last Update Date | 2022-02-17 |