Pine Brook Pharmacy

LBN: Pine Brook Pharmacy Llc
Pine Brook Pharmacy is an health care organization with primary practice located at 14111 Cortez Blvd , Brooksville FL 34613-2707. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pine Brook Pharmacy Llc can be contacted via phone (352) 610-4347, or through Thakkar, Heena via phone (813) 454-3426.

Contact Information

Primary practice address
14111 Cortez Blvd Brooksville FL 34613-2707
Phone: (352) 610-4347
Fax: (352) 610-4349
Website:
Map and Directions
Authorized official contact:
Name: Thakkar, Heena
Phone: (813) 454-3426

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH24082 Florida
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1558596932
LBN Legal business name Pine Brook Pharmacy Llc
DBA Doing business as Pine Brook Pharmacy
Authorized official Thakkar, Heena
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2009
Last updated Jan 27th, 2022 - about 2 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 1558596932 NPPES
Florida MEDICAID 6669650001
Florida Other 2120453

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