Organization
PINE HILLS DRUGS INC
Active
Organization
PINE HILLS DRUGS INC
Active
Other names
PINE HILLS DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR MBIONWU RPH (OWNER, PIC, AO)
(407) 291-1236
Entity
Organization
Contact information
Practice address
5000 W COLONIAL DR STE 100, ORLANDO, FL 32808-7602
(407) 291-1236
(407) 291-1797
Mailing address
5000 W COLONIAL DR STE 100, ORLANDO, FL 32808-7602
(407) 291-1236
(407) 291-1797
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH19373
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026164500
—
FL
01
—
2015749
PK
—
Enumeration date
09/20/2006
Last updated
10/25/2024
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