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General NPI Number Information
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NPI Number | 1215978275
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Entity Type | Organization
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Legal Business Name | SUNSHINE PHARMACY MEDICAL INC
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 6350 DAVIS BLVD
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City | NAPLES
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State | FL
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Zip | 34104-5323
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Country | US
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Telephone | 239-775-7207
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Fax | 239-963-3098
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Provider Business Mailing Address
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Address Line | 6350 DAVIS BLVD
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City | NAPLES
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State | FL
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Zip | 34104-5323
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Country | US
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Telephone | 239-775-7207
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Fax | 239-963-3098
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Authorized Official
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Title or Position | OWNER
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Name | DEL PARRISH
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Credential |
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Telephone | 239-775-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH22051
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License Number State | FL
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