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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