Healthcare Provider Details

I. General information

NPI: 1972607265
Provider Name (Legal Business Name): SUNSHINE SOLUTIONS PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 10/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5480 RATTLESNAKE HAMMOCK RD
NAPLES FL
34113-7454
US

IV. Provider business mailing address

5480 RATTLESNAKE HAMMOCK RD
NAPLES FL
34113-7454
US

V. Phone/Fax

Practice location:
  • Phone: 239-530-3784
  • Fax: 239-775-3750
Mailing address:
  • Phone: 239-530-3784
  • Fax: 239-775-3750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH17844
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DEL PARRISH
Title or Position: OWNER
Credential:
Phone: 239-775-6800