Organization
SUNSHINE RX LLC
Active
Other names
ECKERDS PHARMACY 103
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRAM BACHUBHAI RAO (PRESIDENT)
(863) 774-3536
Entity
Organization
Contact information
Practice address
5139 MANATEE AVE W, BRADENTON, FL 34209-3740
(941) 538-7122
(941) 538-7133
Mailing address
5139 MANATEE AVE W, BRADENTON, FL 34209-3740
(941) 538-7122
(941) 538-7133
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26101
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005551600
—
FL
05
—
005551601
—
FL
01
—
2134911
PK
—
Enumeration date
04/30/2012
Last updated
12/27/2024
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