Organization
PINNACLE PHARMACY INC
Active
Other names
Pinnacle Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SYAM PINNAMANENI RPH (PIC)
(386) 313-5996
Entity
Organization
Contact information
Practice address
80 PINNACLES DR STE 900, PALM COAST, FL 32164-2915
(386) 313-5995
(386) 313-5996
Mailing address
80 PINNACLES DR STE 900, PALM COAST, FL 32164-2915
(386) 313-5995
(386) 313-5996
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25638
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042810000
—
FL
01
—
2131688
PK
—
Enumeration date
08/31/2011
Last updated
06/04/2015
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