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Organization
SUNRISE RX PHARMACY INC
Active
Organization
SUNRISE RX PHARMACY INC
Active
Other names
Woodside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCE MISTRY (PRESIDENT)
(201) 456-8418
Entity
Organization
Contact information
Practice address
4902 QUEENS BLVD, WOODSIDE, NY 11377-4444
(718) 205-0550
(718) 205-0551
Mailing address
4902 QUEENS BLVD, WOODSIDE, NY 11377-4444
(718) 205-0550
(718) 205-0551
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031713
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138790
PK
—
Enumeration date
01/30/2013
Last updated
05/24/2013
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