Pebblebrook Pharmacy

LBN: Pebblebrook Inc
Pebblebrook Pharmacy is an health care organization with primary practice located at 15215 Collier Blvd Ste 308 , Naples FL 34119-6835. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pebblebrook Inc can be contacted via phone (239) 353-0800, or through Chaudhari, Suresh via phone (239) 560-4354.

Contact Information

Primary practice address
15215 Collier Blvd Ste 308 Naples FL 34119-6835
Phone: (239) 353-0800
Fax: (239) 353-0804
Website:
Map and Directions
Authorized official contact:
Name: Chaudhari, Suresh RPH
Phone: (239) 560-4354

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH26789 Florida
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1063856367
LBN Legal business name Pebblebrook Inc
DBA Doing business as Pebblebrook Pharmacy
Authorized official Chaudhari, Suresh RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2013
Last updated Feb 5th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063856367 NPPES
Other 2139949 PK
MEDICAID 008590000 PK

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