Organization
SUNSET NURSING SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER GERALD ELLISOR RPH (OWNER)
(803) 794-6440
Entity
Organization
Contact information
Practice address
101 PROFESSIONAL AVE, WEST COLUMBIA, SC 29169-4711
(803) 794-6440
(803) 739-1420
Mailing address
101 PROFESSIONAL AVE, WEST COLUMBIA, SC 29169-4711
(803) 794-6440
(803) 739-1420
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
50002216
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4215578
NABP
SC
Enumeration date
05/14/2007
Last updated
08/22/2020
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