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General NPI Number Information
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NPI Number | 1740089713
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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 | 03/11/2025
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Last Update Date | 03/11/2025
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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 |
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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 |
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Authorized Official
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Title or Position | OWNER
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Name | CHIMEZIRI 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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