Organization
CC CHEMIST LLC
Active
Other names
Pine Island Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YANISLEY BENCOMO BATISTA PHARMACY TECH (MANAGER)
(239) 258-8742
Entity
Organization
Contact information
Practice address
1242 SW PINE ISLAND RD STE 15, CAPE CORAL, FL 33991-2124
(239) 387-2599
(239) 387-2579
Mailing address
1242 SW PINE ISLAND RD STE 15, CAPE CORAL, FL 33991-2124
(239) 387-2599
(239) 387-2579
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
07/02/2025
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