MEDICARE: SONEE PHARMACY SERVICES 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	PH26290	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2137568	OTHER		PK

General Provider Information

NPI Number	:	1861718892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONEE PHARMACY SERVICES INC

Provider Business Mailing Address
First Line	:	6683 SOARING EAGLE WAY
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34241-5213
Country	:	US
Telephone Number	:	941-753-6075
Fax Number	:	941-753-1417

Provider Business Practice Location Address
First Line	:	6229 14TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34207-4611
Country	:	US
Telephone Number	:	941-753-6075
Fax Number	:	941-753-1417

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	SONI PATEL
Credential	:
Telephone Number	:	941-753-6075

Provider Enumeration Date	:	04/15/2010
Last Update Date	:	01/19/2021

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