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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