Organization
SHREEJI 16 INC
Active
Organization
SHREEJI 16 INC
Active
Other names
PINE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TEJAS GANDHI PHARMACIST (PHARMACIST IN CHARGE)
(352) 348-4049
Entity
Organization
Contact information
Practice address
2012 S PINE AVE, OCALA, FL 34471-8192
(352) 348-4049
Mailing address
3702 PEACEPIPE WAY, CLERMONT, FL 34711-8968
(352) 348-4049
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/17/2021
Last updated
02/17/2022
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