# SUNSHINE PHARMACY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Lake Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730564733
- **Authorized official:** KYLE MCHUGH (OWNER)
- **Authorized official phone:** (803) 399-7701

## Contact information

- **Practice address:** 1856 S LAKE DR STE K, LEXINGTON, SC 29073-7225
- **Practice address phone:** (803) 399-7701
- **Practice address fax:** (803) 399-7702
- **Mailing address:** 634 PINE RIDGE DR STE B, WEST COLUMBIA, SC 29172-1885
- **Mailing address phone:** (803) 939-8489
- **Mailing address fax:** (803) 399-7702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 16079 | SC | Yes |

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 06/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2151773 | PK | — |
| 05 | — | 716079 | — | SC |