| 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 |