Organization
PINE HILLS PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHUONG THI NGOC NGUYEN R.PH. (PRESIDENT)
(407) 896-3434
Entity
Organization
Contact information
Practice address
1210 E COLONIAL DR, SUITE 1, ORLANDO, FL 32803-4727
(407) 896-3434
Mailing address
1210 E COLONIAL DR, SUITE 1, ORLANDO, FL 32803-4727
(407) 896-3434
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 15472
FL
Other
Enumeration date
12/02/2006
Last updated
08/22/2020
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