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General NPI Number Information
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NPI Number | 1730286063
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Entity Type | Organization
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Legal Business Name | PINE HILLS DRUGS INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 5000 W COLONIAL DR STE 100
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City | ORLANDO
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State | FL
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Zip | 32808-7602
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Country | US
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Telephone | 407-291-1236
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Fax | 407-291-1797
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Provider Business Mailing Address
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Address Line | 5000 W COLONIAL DR STE 100
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City | ORLANDO
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State | FL
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Zip | 32808-7602
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Country | US
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Telephone | 407-291-1236
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Fax | 407-291-1797
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Authorized Official
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Title or Position | OWNER, PIC, AO
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Name | OSCAR MBIONWU
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Credential | RPH
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Telephone | 407-291-1236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH19373
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License Number State | FL
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