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PINE BROOK PHARMACY LLC NPI 1588310239


NPI Information

NPI: 1588310239
Provider Name: PINE BROOK PHARMACY LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
14111 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 610-4347
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PINE BROOK PHARMACY LLC is a long term care pharmacy pharmacy in Brooksville, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PINE BROOK PHARMACY LLC NPI is 1588310239. The provider is registered as an organization entity type.

The provider's business location address is:

14111 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613-707
Phone: (352) 610-4347
Fax: (352) 610-4349

The provider's authorized official is Dorothy Schmeckpeper .
The authorized official title is Pharmacy Supervisor and has the following contact phone number (352) 610-4347.

The enumeration date for this NPI number is 2/22/2022 and was last updated on 2/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001168201MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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