Organization
PINEBROOK PHARMA INC.
Active
Other names
PINEBROOK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PERSIDA BELLO SP (SUPERVISING PHARMACIST)
(718) 992-8182
Entity
Organization
Contact information
Practice address
1183 JEROME AVE, BRONX, NY 10452-3331
(718) 992-8182
Mailing address
1183 JEROME AVE, BRONX, NY 10452-3331
(718) 992-8182
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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