Organization
PINES PHARMACY INC
Active
Other names
Pines Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO BOZA (PRESIDENT)
(305) 889-0377
Entity
Organization
Contact information
Practice address
881 E 2ND AVE, HIALEAH, FL 33010-4205
(305) 889-0377
(305) 882-1162
Mailing address
881 E 2ND AVE, HIALEAH, FL 33010-4205
(305) 889-0377
(305) 882-1162
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH25280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5707849
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/11/2011
Last updated
10/13/2011
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