Organization
PINE BROOK PHARMACY LLC
Active
Other names
Pine Brook Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY SCHMECKPEPER (PHARMACY SUPERVISOR)
(352) 610-4347
Entity
Organization
Contact information
Practice address
14111 CORTEZ BLVD, BROOKSVILLE, FL 34613-2707
(352) 610-4347
(352) 610-4349
Mailing address
14111 CORTEZ BLVD, BROOKSVILLE, FL 34613-2707
(352) 610-4347
(352) 610-4349
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001168201
—
FL
Enumeration date
02/22/2022
Last updated
02/22/2022
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