Organization
SUNSET PHARMACY LLC
Active
Other names
Sunset Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER KLUKOWSKI (PHARMACIST)
(239) 225-6337
Entity
Organization
Contact information
Practice address
4224 CLEVELAND AVE STE 5, FORT MYERS, FL 33901-9051
(239) 225-6337
(239) 437-6337
Mailing address
4224 CLEVELAND AVE STE 5, FORT MYERS, FL 33901-9051
(239) 225-6337
(239) 437-6337
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH 24933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5704920
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/25/2011
Last updated
03/30/2011
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