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General NPI Number Information
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NPI Number | 1871009258
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Entity Type | Organization
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Legal Business Name | SUNSHINE PHARMACY OF SANFORD LLC
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Dates
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Enumeration Date | 12/20/2017
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 5040 SR 46 STE 1126
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City | SANFORD
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State | FL
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Zip | 32771-9252
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Country | US
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Telephone | 407-590-1914
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Fax |
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Provider Business Mailing Address
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Address Line | 5040 SR 46 STE 1126
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City | SANFORD
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State | FL
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Zip | 32771-9252
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Country | US
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Telephone | 407-590-1914
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SODHI S SODHI
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Credential | RPH
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Telephone | 407-878-4272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 30945
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License Number State | FL
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