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General NPI Number Information
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NPI Number | 1588832497
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Entity Type | Organization
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Legal Business Name | SUNSHINE PHARMACY INC
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 206 E STATE ST STE 1
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-3545
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Country | US
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Telephone | 828-669-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 206 E STATE ST STE 1
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-3545
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Country | US
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Telephone | 828-669-0090
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST/PRESIDENT
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Name | AMANDA B NICHOLS
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Credential | RPH
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Telephone | 828-275-6469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19157
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License Number State | NC
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