Organization
PINE PHARMACEUTICALS, LLC
Active
Other names
Pine Pharmaceuticals, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSE MUTO (MEMBER)
(716) 628-4986
Entity
Organization
Contact information
Practice address
100 COLVIN WOODS PKWY STE 300, TONAWANDA, NY 14150-6974
(716) 248-1028
Mailing address
100 COLVIN WOODS PKWY, SUITE 300, TONAWANDA, NY 14150-6974
(716) 248-1028
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
032992
NY
3336I0012X
Institutional Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147265
PK
—
Enumeration date
09/18/2014
Last updated
09/18/2014
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