Organization
PEBBLEBROOK INC
Active
Other names
COLLIER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SURESH CHAUDHARI RPH (AUTHORIZED PERSON)
(239) 331-3836
Entity
Organization
Contact information
Practice address
4861 GOLDEN GATE PKWY, NAPLES, FL 34116-6953
(239) 331-3836
(239) 692-8213
Mailing address
15215 COLLIER BLVD STE 308, NAPLES, FL 34119-6835
(239) 331-3836
(239) 692-8213
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH30941
FL
Other
Enumeration date
08/31/2017
Last updated
06/05/2021
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