# SUNRISE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588913701
- **Authorized official:** VIMAL BAROT RPH (PHARMACIST/MANAGER)
- **Authorized official phone:** (239) 246-4314

## Contact information

- **Practice address:** 1235 INDIAN TRAIL RD,, SUITE 200A, NORCROSS, GA 30093
- **Practice address phone:** (239) 246-4314
- **Mailing address:** 1235 INDIAN TRAIL RD,, SUITE 200A, NORCROSS, GA 30093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009866 | GA | Yes |

## Other

- **Enumeration date:** 09/04/2012
- **Last updated:** 09/04/2012
