Organization
PINES PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD OSAIYUWU (V.P)
(954) 534-9166
Entity
Organization
Contact information
Practice address
8930 TAFT ST, PEMBROKE PINES, FL 33024-4675
(954) 534-9166
(954) 342-9736
Mailing address
8930 TAFT ST, PEMBROKE PINES, FL 33024-4675
(954) 534-9166
(954) 342-9736
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH25281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH25281
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
02/18/2011
Last updated
02/18/2011
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