Organization
SUNSHINE WILD INC
Active
Other names
5 Star Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NITIL PATEL (PRESIDENT)
(813) 971-5557
Entity
Organization
Contact information
Practice address
13757 N NEBRASKA AVE, TAMPA, FL 33613-3320
(813) 971-5557
(813) 971-5558
Mailing address
13757 N NEBRASKA AVE, TAMPA, FL 33613-3320
(813) 971-5557
(813) 971-5558
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002747600
—
FL
01
—
2128641
PK
—
Enumeration date
07/29/2010
Last updated
03/06/2017
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