Organization
SUNNYSIDE PEDIATRIC PHARMACY
Active
Other names
Sunnyside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEHU TOMAS GRACIA (PHARMACIST IN CHARGE)
(361) 806-9100
Entity
Organization
Contact information
Practice address
13310 LEOPARD ST STE 28, CORPUS CHRISTI, TX 78410-4486
(361) 248-4232
(361) 248-4126
Mailing address
13310 LEOPARD ST STE 28, CORPUS CHRISTI, TX 78410-4486
(361) 248-4232
(361) 248-4126
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
09/30/2022
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