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NPI 1811236219

NPI 1811236219 : SUNSHINE PHARMACY SERVICES LTD CO : LAKELAND, FL

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General NPI Number Information
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    NPI Number           |    1811236219
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUNSHINE PHARMACY SERVICES LTD CO 
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Dates
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    Enumeration Date     |    02/05/2013
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    Last Update Date     |    06/17/2025
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Provider Practice Location Address
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    Address Line         |    1231 LAKELAND HILLS BLVD 
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    City                 |    LAKELAND
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    State                |    FL
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    Zip                  |    33805-4673
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    Country              |    US
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    Telephone            |    863-937-9038
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    Fax                  |    863-688-5462
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Provider Business Mailing Address
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    Address Line         |    1231 LAKELAND HILLS BLVD 
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    City                 |    LAKELAND
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    State                |    FL
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    Zip                  |    33805-4673
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    Country              |    US
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    Telephone            |    863-937-9038
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    Fax                  |    863-688-5462
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Authorized Official
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    Title or Position    |    MANAGER/OWNER
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    Name                 |     PATRICIA  FOSU 
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    Credential           |    
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    Telephone            |    863-274-0676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    PH26358
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    License Number State |    FL
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