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General NPI Number Information
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NPI Number | 1962712562
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Entity Type | Organization
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Legal Business Name | SUNSHINE PHARMACY RX INC
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 607 E ALEXANDER ST
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City | PLANT CITY
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State | FL
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Zip | 33563-7126
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Country | US
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Telephone | 813-703-1500
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Fax | 813-703-1505
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Provider Business Mailing Address
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Address Line | 607 E ALEXANDER ST
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City | PLANT CITY
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State | FL
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Zip | 33563-7126
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Country | US
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Telephone | 904-891-0330
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Fax | 813-703-1505
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Authorized Official
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Title or Position | PHARMACIST PDM
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Name | MEENA KUKREJA
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Credential |
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Telephone | 904-891-0330
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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 | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH24980
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License Number State | FL
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