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NPI Code Detail

MEDICARE: SUNSHINE PHARMACY AT GOLDEN GATE BLVD INC

MEDICARE: SUNSHINE PHARMACY AT GOLDEN GATE BLVD INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail PharmacyPH23952FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11043859OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1003058587
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSHINE PHARMACY AT GOLDEN GATE BLVD INC
Provider Business Mailing Address
First Line : 80 WILSON BLVD S
Second Line : STE 7
City : NAPLES
State : FL
Zip : 34117-9386
Country : US
Telephone Number : 239-384-5092
Fax Number : 235-687-1295
Provider Business Practice Location Address
First Line : 80 WILSON BLVD S
Second Line : STE 7
City : NAPLES
State : FL
Zip : 34117-9386
Country : US
Telephone Number : 239-384-5092
Fax Number : 239-687-1295
Authorized Official
Title or Position : OWNER
Name : DEL PARRISH
Credential : RPH
Telephone Number : 239-775-6800
Provider Enumeration Date : 03/31/2009
Last Update Date : 09/23/2010

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Directions to “SUNSHINE PHARMACY AT GOLDEN GATE BLVD INC ” Practice Location

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