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Organization
SUNSHINE PHARMACY SERVICES LLC
Active
Organization
SUNSHINE PHARMACY SERVICES LLC
Active
Other names
South Lake Drug
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE MCHUGH (OWNER)
(803) 399-7701
Entity
Organization
Contact information
Practice address
1856 S LAKE DR STE K, LEXINGTON, SC 29073-7225
(803) 399-7701
(803) 399-7702
Mailing address
634 PINE RIDGE DR STE B, WEST COLUMBIA, SC 29172-1885
(803) 939-8489
(803) 399-7702
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
16079
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151773
PK
—
05
—
716079
—
SC
Enumeration date
07/21/2015
Last updated
06/14/2023
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