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General NPI Number Information
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NPI Number | 1730564733
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Entity Type | Organization
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Legal Business Name | SUNSHINE PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 07/21/2015
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 1856 S LAKE DR STE K
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City | LEXINGTON
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State | SC
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Zip | 29073-7225
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Country | US
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Telephone | 803-399-7701
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Fax | 803-399-7702
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Provider Business Mailing Address
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Address Line | 634 PINE RIDGE DR STE B
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City | WEST COLUMBIA
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State | SC
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Zip | 29172-1885
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Country | US
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Telephone | 803-939-8489
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Fax | 803-399-7702
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Authorized Official
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Title or Position | OWNER
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Name | KYLE MCHUGH
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Credential |
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Telephone | 803-399-7701
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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 | 16079
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License Number State | SC
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