Organization
PINE ISLAND DRUGS INC
Active
Other names
NEIGHBORHOOD DRUGS OF DAVIE
Organization subpart
No
Provider details
NPI number
Authorized official
SITORA KOVAZODA (PRESIDENT)
(954) 424-3784
Entity
Organization
Contact information
Practice address
8844 W STATE ROAD 84, UNIT B, DAVIE, FL 33324-4455
(954) 424-3784
(954) 424-3412
Mailing address
8844 W STATE ROAD 84, UNIT B, DAVIE, FL 33324
(954) 424-3784
(954) 424-3412
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH13774
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103446400
—
FL
01
—
2009615
PK
—
Enumeration date
01/16/2007
Last updated
10/15/2024
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