Pine Brook Pharmacy Llc

NPI 1255729638 - Pharmacy - 3336C0003X

NPI Details
NPI 1255729638
Enumeration Date 01/07/2015
Last Updated 04/16/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name HEENA HEENA
Position OWNER
Phone (813) 454-3426
Fax (352) 610-4347
Practice Location
11373 CORTEZ BLVD
SUITE 101
BROOKSVILLE FL, 34613-5414, US
Phone (813) 454-3426
Fax (352) 610-4347
Business Location
19107 HARBOR COVE CT
LUTZ FL, 33558-9702, US
Phone (813) 454-3426
Fax (352) 610-4347
Toxanomy
Taxonomy Code 3336C0003X
License State Florida
License Number PH28784
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According to our database, Pine Brook Pharmacy Llc NPI is 1255729638, taxonomy code is 3336C0003X and license number is PH28784, license state is located at Florida. Pine Brook Pharmacy Llc physically located at 11373 Cortez Blvd, Brooksville FL, 34613-5414. NPI Number 1033115704 has the healthcare provider type.

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1255729638 NPI number is provided on an as is basis without warranty of any kind. 1255729638 is maintained by the National Plan & Provider Enumeration System. The contents of Pine Brook Pharmacy Llc are for informational purposes only.