# SUNRISE WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Town Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366785701
- **Authorized official:** MR. NEIL GODHANI (PRESIDENT)
- **Authorized official phone:** (201) 766-1900

## Contact information

- **Practice address:** 4911 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5510
- **Practice address phone:** (201) 766-1900
- **Practice address fax:** (201) 766-1904
- **Mailing address:** 4911 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5510
- **Mailing address phone:** (201) 766-1900
- **Mailing address fax:** (201) 766-1904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NJ | Yes |
| 3336S0011X | Specialty Pharmacy | — | NJ | — |

## Other

- **Enumeration date:** 04/04/2013
- **Last updated:** 07/10/2020