Organization
RELIANT PHARMACY LLC
Active
Other names
PINE BROOK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HEENA THAKKAR (OWNER)
(813) 454-3426
Entity
Organization
Contact information
Practice address
10507 SPRING HILL DR, SPRING HILL, FL 34608-5047
(352) 596-1044
(352) 596-1043
Mailing address
10507 SPRING HILL DR, SPRING HILL, FL 34608-5047
(352) 596-1044
(352) 596-1043
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25342
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013442900
—
FL
01
—
2129731
PK
—
Enumeration date
03/21/2011
Last updated
06/30/2025
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