Organization
PINES DISCOUNT PHARMACY INC
Active
Parent organization
PINES DISCOUNT PHARMACY INC
Other names
ALOE DRUG MART
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINES DISCOUNT PHARMACY INC
Authorized official
ADEKUNLE ADIMULA (PRESIDENT)
(954) 437-4900
Entity
Organization
Contact information
Practice address
631 NW 100TH PL, PEMBROKE PINES, FL 33024-6163
(954) 437-4900
(954) 437-4504
Mailing address
631 NW 100TH PL, PEMBROKE PINES, FL 33024-6163
(954) 437-4900
(954) 437-4504
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH24151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030963000
—
FL
Enumeration date
03/01/2018
Last updated
03/01/2018
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