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Organization

SUNRISE PHARMACY OF CAPON BRIDGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES ROBSBAUGH RPH (PRESIDENT)
(304) 822-7257
Entity
Organization

Contact information

Practice address
SUITES 2 AND 3 BEAR GARDEN PLAZA, CAPON BRIDGE, WV 26711
(304) 856-3301
(304) 856-3312
Mailing address
HC 61 BOX 301, CAPON BRIDGE, WV 26711

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
SP0552351
WV
3336C0004X
Compounding Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5054452
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
02/15/2007
Last updated
09/11/2025
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