Organization
SUNRISE PHARMACY & DISCOUNT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCELA MORENO (PRESIDENT)
(786) 235-0555
Entity
Organization
Contact information
Practice address
4254 W 12TH AVE, HIALEAH, FL 33012-4108
(786) 235-0555
(786) 235-0556
Mailing address
4254 W 12TH AVE, HIALEAH, FL 33012-4108
(786) 235-0555
(786) 235-0556
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PS19904
FL
Other
Enumeration date
07/07/2005
Last updated
08/22/2020
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