MEDICARE: USA SUNSET PHARMACY 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
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1016220	OTHER	FL	NBDP

General Provider Information

NPI Number	:	1043392970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USA SUNSET PHARMACY INC

Provider Business Mailing Address
First Line	:	9783 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4615
Country	:	US
Telephone Number	:	305-271-3838
Fax Number	:	305-279-5903

Provider Business Practice Location Address
First Line	:	9783 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4615
Country	:	US
Telephone Number	:	305-271-3838
Fax Number	:	305-279-5903

Authorized Official
Title or Position	:	SECRETARY
Name	:	MR. JAVIER CHADE
Credential	:
Telephone Number	:	305-271-3838

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	08/22/2020

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Directions to “USA SUNSET PHARMACY INC ” Practice Location

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