Organization
PEBBLEBROOK INC
Active
Other names
PEBBLEBROOK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH CHAUDHARI RPH (AUTHORIZE PERSON)
(239) 560-4354
Entity
Organization
Contact information
Practice address
15215 COLLIER BLVD STE 308, NAPLES, FL 34119-6835
(239) 353-0800
(239) 353-0804
Mailing address
15215 COLLIER BLVD, SUIT#308, NAPLES, FL 34119-6834
(239) 353-0800
(239) 353-0804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26789
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008590000
—
FL
01
—
2139949
PK
—
Enumeration date
04/17/2013
Last updated
02/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us