Healthcare Provider Details

I. General information

NPI: 1881950590
Provider Name (Legal Business Name): SUNSCRIPT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 01/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7869 PINES BLVD
PEMBROKE PINES FL
33024-6916
US

IV. Provider business mailing address

7869 PINES BLVD
PEMBROKE PINES FL
33024
US

V. Phone/Fax

Practice location:
  • Phone: 954-362-7645
  • Fax: 954-362-7646
Mailing address:
  • Phone: 954-362-7645
  • Fax: 954-362-7646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH25983
License Number StateFL

VIII. Authorized Official

Name: VICTORIA HUYNH
Title or Position: PHARMACIST
Credential:
Phone: 954-704-1387