Provider Demographics
NPI:1437642634
Name:PINKSTON, TASHA L (BS)
Entity Type:Individual
Prefix:MRS
First Name:TASHA
Middle Name:L
Last Name:PINKSTON
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26316 WESLEY CHAPEL BLVD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-7208
Mailing Address - Country:US
Mailing Address - Phone:813-994-8100
Mailing Address - Fax:
Practice Address - Street 1:26316 WESLEY CHAPEL BLVD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559-7208
Practice Address - Country:US
Practice Address - Phone:813-994-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS2769183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist